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General NPI Number Information
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NPI Number | 1700036068
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Entity Type | Organization
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Legal Business Name | KEN TURNER PHARMACY INC
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Dates
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Enumeration Date | 09/23/2008
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Last Update Date | 02/28/2014
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Provider Practice Location Address
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Address Line | 109 E PANOLA ST
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City | CARTHAGE
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State | TX
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Zip | 75633-2601
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Country | US
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Telephone | 903-693-7106
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Fax | 903-693-2853
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Provider Business Mailing Address
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Address Line | 109 E PANOLA ST
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City | CARTHAGE
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State | TX
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Zip | 75633-2601
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Country | US
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Telephone | 903-693-7106
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Fax | 903-693-2853
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SANDRA TURNER
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Credential |
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Telephone | 903-693-4412
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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 | 11707
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License Number State | TX
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