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General NPI Number Information
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NPI Number | 1851306492
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Entity Type | Organization
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Legal Business Name | LION COUNTRY PHARMACY, LLC
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 03/27/2019
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Provider Practice Location Address
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Address Line | 311 N CENTER
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City | FRANKLIN
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State | TX
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Zip | 77856
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Country | US
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Telephone | 979-828-3536
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Fax | 979-828-3543
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Provider Business Mailing Address
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Address Line | PO BOX 639
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City | FRANKLIN
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State | TX
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Zip | 77856-0639
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Country | US
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Telephone | 979-828-3536
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Fax | 979-828-3543
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Authorized Official
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Title or Position | OWNER, PHARMACIST-IN-CHARGE
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Name | DR. LEAH ANNE ALLEN
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Credential | PHARM.D., RPH.
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Telephone | 979-828-3536
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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 | 19871
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number |
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License Number State |
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