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General NPI Number Information
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NPI Number | 1811030331
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Entity Type | Organization
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Legal Business Name | CAREMAX PHARMACY OF LOUDON, INC
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 413 S GAY ST STE 203
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City | KNOXVILLE
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State | TN
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Zip | 37902-1104
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Country | US
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Telephone | 865-540-1002
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Fax | 866-491-5888
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Provider Business Mailing Address
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Address Line | 17111 PRESTON RD STE 100
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City | DALLAS
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State | TX
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Zip | 75248-1234
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Country | US
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Telephone | 866-972-5888
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Fax | 664-915-8888
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Authorized Official
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Title or Position | PRESIDENT
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Name | AMY MULDERRY
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Credential |
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Telephone | 972-588-1050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 830
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License Number State | TN
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