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General NPI Number Information
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NPI Number | 1811022569
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Entity Type | Organization
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Legal Business Name | BOONE DRUGS INC
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 1641 S SHADY ST
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City | MOUNTAIN CITY
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State | TN
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Zip | 37683-2015
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Country | US
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Telephone | 423-727-0038
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Fax |
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Provider Business Mailing Address
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Address Line | 345 DEERFIELD RD
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City | BOONE
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State | NC
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Zip | 28607-5009
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Country | US
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Telephone | 828-355-3365
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Fax | 828-264-0543
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | SPENCER W HODGES
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Credential | PHARMD
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Telephone | 828-264-3055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 333600000X
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License Number State | TN
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