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General NPI Number Information
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NPI Number | 1699977975
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Entity Type | Organization
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Legal Business Name | ADAMSVILLE FAMILY PHARMACY
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 06/13/2008
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Provider Practice Location Address
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Address Line | 726 E MAIN ST
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City | ADAMSVILLE
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State | TN
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Zip | 38310-2458
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Country | US
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Telephone | 731-632-1730
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Fax | 731-632-9954
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Provider Business Mailing Address
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Address Line | PO BOX 253
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City | ADAMSVILLE
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State | TN
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Zip | 38310-0253
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Country | US
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Telephone | 731-632-1730
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Fax | 731-632-9954
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Authorized Official
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Title or Position | PHARMACIST
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Name | MRS. VALERIE ANN WILLIAMS
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Credential | DPH
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Telephone | 17316321730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 3670
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License Number State | TN
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