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General NPI Number Information
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NPI Number | 1710372214
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Entity Type | Organization
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Legal Business Name | GETWELL PHARMACY LLC
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Dates
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Enumeration Date | 04/01/2015
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Last Update Date | 12/07/2015
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Provider Practice Location Address
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Address Line | 3960 KNIGHT ARNOLD RD STE 112
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City | MEMPHIS
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State | TN
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Zip | 38118-3001
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Country | US
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Telephone | 901-308-1050
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Fax |
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Provider Business Mailing Address
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Address Line | 3960 KNIGHT ARNOLD RD STE 112
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City | MEMPHIS
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State | TN
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Zip | 38118-3001
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Country | US
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Telephone | 901-308-1050
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. DANIEL APELIAN
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Credential |
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Telephone | 617-201-5730
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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 | 0000005537
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License Number State | TN
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