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General NPI Number Information
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NPI Number | 1669508065
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Entity Type | Organization
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Legal Business Name | HUTCHINSON DRUG STORE
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 09/12/2007
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Provider Practice Location Address
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Address Line | 401 W MAIN ST SUITE 130
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City | LEXINGTON
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State | KY
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Zip | 40507-1640
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Country | US
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Telephone | 859-252-3554
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Fax | 859-252-3555
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Provider Business Mailing Address
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Address Line | 401 W MAIN ST SUITE 130
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City | LEXINGTON
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State | KY
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Zip | 40507-1640
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOHN HUTCHINSON
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Credential | RPH
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Telephone | 859-252-3554
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PO0870
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License Number State | KY
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