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NPI 1801731211

NPI 1801731211 : PHARMHOUSE LLC : WAVERLY, TN

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General NPI Number Information
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    NPI Number           |    1801731211
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    Entity Type          |    Organization 
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    Legal Business Name  |    PHARMHOUSE LLC 
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Dates
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    Enumeration Date     |    04/22/2026
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    Last Update Date     |    04/22/2026
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Provider Practice Location Address
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    Address Line         |    306 W MAIN ST 
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    City                 |    WAVERLY
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    State                |    TN
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    Zip                  |    37185-1513
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    Country              |    US
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    Telephone            |    931-299-7181
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    306 W MAIN ST 
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    City                 |    WAVERLY
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    State                |    TN
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    Zip                  |    37185-1513
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    Country              |    US
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    Telephone            |    931-299-7181
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/PHARMACIST
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    Name                 |     BRANDON  TRULL 
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    Credential           |    
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    Telephone            |    931-299-7181
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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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