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General NPI Number Information
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NPI Number | 1730291436
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Entity Type | Organization
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Legal Business Name | BEELERS DRUGSTORE
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 11715 S PRESTON HWY
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City | LEBANON JUNCTION
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State | KY
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Zip | 40150-8413
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Country | US
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Telephone | 502-833-4831
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Fax | 502-833-4586
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Provider Business Mailing Address
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Address Line | PO BOX 489
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City | LEBANON JUNCTION
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State | KY
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Zip | 40150-0489
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Country | US
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Telephone | 502-833-4831
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Fax | 502-833-4586
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Authorized Official
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Title or Position | MANAGER
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Name | ANN MARIA BEELER
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Credential | RPH
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Telephone | 502-833-4831
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | P00816
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License Number State | KY
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