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General NPI Number Information
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NPI Number | 1700946167
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Entity Type | Organization
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Legal Business Name | GALLAHER'S PHARMACY INC
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 01/23/2015
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Provider Practice Location Address
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Address Line | 2914 BLACKBURN AVE
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City | ASHLAND
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State | KY
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Zip | 41101-4838
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Country | US
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Telephone | 606-329-2122
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Fax | 606-329-8192
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Provider Business Mailing Address
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Address Line | 2914 BLACKBURN AVE
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City | ASHLAND
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State | KY
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Zip | 41101-4838
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Country | US
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Telephone | 606-329-2122
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Fax | 606-329-8192
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. SONYA LEE MUNCY
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Credential | RPH
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Telephone | 606-329-2122
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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 | P02373
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License Number State | KY
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