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General NPI Number Information
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NPI Number | 1811943848
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Entity Type | Organization
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Legal Business Name | VILLAGE SHOPS, INC
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Dates
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Enumeration Date | 05/25/2006
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 7030 CUMBERLAND GAP PKWY
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City | HARROGATE
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State | TN
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Zip | 37752-8232
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Country | US
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Telephone | 423-869-4707
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Fax | 423-869-4708
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Provider Business Mailing Address
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Address Line | 7030 CUMBERLAND GAP PKWY PO BOX 619
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City | HARROGATE
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State | TN
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Zip | 37752-8232
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Country | US
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Telephone | 423-869-4707
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Fax | 423-869-4708
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | MR. JAMES RICHARD NEVILS
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Credential | DPH
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Telephone | 423-869-4707
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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 | 0000000413
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License Number State | TN
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