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NPI 1811583313

NPI 1811583313 : ALEXANDER HUDSON PHARMD : LEXINGTON, KY

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General NPI Number Information
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    NPI Number           |    1811583313
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    Entity Type          |    Individual 
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    Provider Name        |    ALEXANDER HUDSON PHARMD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/18/2020
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    Last Update Date     |    12/18/2020
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Provider Practice Location Address
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    Address Line         |    2209 RICHMOND RD 
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    City                 |    LEXINGTON
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    State                |    KY
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    Zip                  |    40502-1306
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    Country              |    US
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    Telephone            |    859-269-8832
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1556 DEER LAKE DR 
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    City                 |    LEXINGTON
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    State                |    KY
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    Zip                  |    40515-5316
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    Country              |    US
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    Telephone            |    423-748-1035
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    021816
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    License Number State |    KY
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