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General NPI Number Information
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NPI Number | 1740473644
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Entity Type | Organization
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Legal Business Name | SKYLINE WOMENS HEALTH ASSOCIATES PHARMACY
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Dates
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Enumeration Date | 08/23/2007
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Last Update Date | 08/23/2007
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Provider Practice Location Address
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Address Line | 1210 BRIARVILLE RD BLDG C
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City | MADISON
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State | TN
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Zip | 37115-5141
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Country | US
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Telephone | 615-868-4682
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Fax | 615-868-5242
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Provider Business Mailing Address
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Address Line | 1210 BRIARVILLE RD BLDG C
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City | MADISON
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State | TN
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Zip | 37115-5141
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Country | US
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Telephone | 615-868-4682
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Fax | 615-868-5242
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | DR. NORMAN J NOFFSINGER JR.
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Credential | D. PH.
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Telephone | 615-971-9599
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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 | 4404
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License Number State | TN
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