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General NPI Number Information
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NPI Number | 1861585028
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Entity Type | Organization
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Legal Business Name | VIRGIE CLINIC PHARMACY INC
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 01/23/2026
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Provider Practice Location Address
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Address Line | 7671 US HWY 23 SOUTH
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City | PIKEVILLE
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State | KY
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Zip | 41501
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Country | US
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Telephone | 606-639-2415
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Fax | 606-639-3052
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Provider Business Mailing Address
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Address Line | P.O. BOX 340
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City | VIRGIE
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State | KY
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Zip | 41572
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Country | US
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Telephone | 606-639-2415
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Fax | 606-639-3052
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. COURTNEY N. BLACK
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Credential | PHARMD
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Telephone | 606-639-2415
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | P01060
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License Number State | KY
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