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NPI 1821382383

NPI 1821382383 : ASHEVILLE HIGHWAY PHARMACY INC : GREENEVILLE, TN

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General NPI Number Information
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    NPI Number           |    1821382383
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    Entity Type          |    Organization 
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    Legal Business Name  |    ASHEVILLE HIGHWAY PHARMACY INC 
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Dates
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    Enumeration Date     |    06/01/2011
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    Last Update Date     |    02/16/2023
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Provider Practice Location Address
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    Address Line         |    511 ASHEVILLE HWY 
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    City                 |    GREENEVILLE
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    State                |    TN
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    Zip                  |    37743-4669
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    Country              |    US
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    Telephone            |    423-639-5155
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    Fax                  |    423-639-2476
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Provider Business Mailing Address
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    Address Line         |    511 ASHEVILLE HWY 
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    City                 |    GREENEVILLE
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    State                |    TN
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    Zip                  |    37743-4669
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    Country              |    US
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    Telephone            |    423-639-5155
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    Fax                  |    423-639-2476
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     WILL  GIDDINGS 
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    Credential           |    
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    Telephone            |    423-630-7030
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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       |    557
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    License Number State |    TN
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