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General NPI Number Information
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NPI Number | 1780671941
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Entity Type | Organization
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Legal Business Name | RXSHOP
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Dates
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Enumeration Date | 10/03/2005
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Last Update Date | 08/26/2016
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Provider Practice Location Address
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Address Line | 1571 KY HIGHWAY 259 N
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City | BROWNSVILLE
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State | KY
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Zip | 42210-9206
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Country | US
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Telephone | 270-597-2181
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Fax | 270-936-8602
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Provider Business Mailing Address
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Address Line | 1571 KY HIGHWAY 259 N PO BOX 540
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City | BROWNSVILLE
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State | KY
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Zip | 42210-9206
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Country | US
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Telephone | 270-597-2181
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Fax | 270-936-8602
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Authorized Official
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Title or Position | PHARMACY OPERATIONS MANAGER
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Name | MR. RANDALL T YOUNG
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Credential | RPH
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Telephone | 270-597-2181
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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 | P07732
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License Number State | KY
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