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General NPI Number Information
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NPI Number | 1790320018
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Entity Type | Organization
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Legal Business Name | HOMETOWN PHARMACY OF WINCHESTER, PLLC
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Dates
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Enumeration Date | 11/11/2019
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Last Update Date | 03/18/2020
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Provider Practice Location Address
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Address Line | 200 CODELLA DR STE C
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City | WINCHESTER
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State | KY
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Zip | 40391-7101
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Country | US
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Telephone | 859-940-2950
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Fax | 877-900-0464
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Provider Business Mailing Address
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Address Line | 200 CODELLA DR STE C
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City | WINCHESTER
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State | KY
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Zip | 40391-7101
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Country | US
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Telephone | 859-759-2102
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Fax | 859-759-2104
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Authorized Official
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Title or Position | OWNER, RPH
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Name | BIJALKUMAR J PATTEL
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Credential |
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Telephone | 859-759-2102
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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 |
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License Number State |
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