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General NPI Number Information
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NPI Number | 1689483752
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Entity Type | Organization
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Legal Business Name | HOLLAND DRUG COMPANY LLC
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Dates
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Enumeration Date | 01/03/2025
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 5425 N MAYO TRL
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City | PIKEVILLE
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State | KY
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Zip | 41501-2966
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Country | US
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Telephone | 606-437-0701
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Fax | 606-437-9262
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Provider Business Mailing Address
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Address Line | 226 E CHLOE RIDGE DR
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City | PIKEVILLE
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State | KY
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Zip | 41501-2183
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Country | US
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Telephone | 606-434-7310
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JODY HOLLAND
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Credential |
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Telephone | 606-437-0701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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