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General NPI Number Information
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NPI Number | 1760888515
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Entity Type | Organization
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Legal Business Name | AFFORDABLE PHARMACY SERVICES
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Dates
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Enumeration Date | 11/06/2014
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Last Update Date | 11/06/2014
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Provider Practice Location Address
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Address Line | 3139 LEBANON PIKE
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City | NASHVILLE
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State | TN
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Zip | 37214-2314
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Country | US
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Telephone | 615-622-2700
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Fax |
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Provider Business Mailing Address
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Address Line | 3139 LEBANON PIKE
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City | NASHVILLE
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State | TN
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Zip | 37214-2314
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Country | US
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Telephone | 615-622-2700
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Fax |
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | JACQUES JACKSON
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Credential | RPH
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Telephone | 615-622-2700
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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 | 14501
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License Number State | MD
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