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General NPI Number Information
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NPI Number | 1770389249
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Entity Type | Organization
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Legal Business Name | STOVALLS PRESCRIPTION SHOP INC
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Dates
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Enumeration Date | 02/24/2025
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 202 S COURT ST
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City | SCOTTSVILLE
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State | KY
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Zip | 42164-1263
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Country | US
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Telephone | 270-237-5402
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Fax | 270-237-4305
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Provider Business Mailing Address
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Address Line | 202 S COURT ST
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City | SCOTTSVILLE
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State | KY
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Zip | 42164-1263
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Country | US
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Telephone | 270-273-7540
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Fax | 270-237-4305
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Authorized Official
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Title or Position | PHARMACIST
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Name | CATHERINE AMANDA WEBB
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Credential | PHARMD
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Telephone | 270-237-5402
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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