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General NPI Number Information
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NPI Number | 1881167641
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Entity Type | Organization
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Legal Business Name | RARX III, LLC
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Dates
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Enumeration Date | 01/04/2019
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Last Update Date | 08/17/2022
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Provider Practice Location Address
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Address Line | 525 METROPLEX DR STE 208
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City | NASHVILLE
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State | TN
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Zip | 37211-3140
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Country | US
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Telephone | 800-610-2163
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Fax | 615-467-5558
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Provider Business Mailing Address
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Address Line | 525 METROPLEX DR STE 208
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City | NASHVILLE
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State | TN
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Zip | 37211-3140
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Country | US
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Telephone | 800-610-2163
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Fax | 615-467-5558
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Authorized Official
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Title or Position | EXECUTIVE VICE PRESIDENT
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Name | DR. BRANTLEY L WESCOTT
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Credential | PHARM.D.
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Telephone | 615-301-5953
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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 |
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License Number State |
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