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General NPI Number Information
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NPI Number | 1881828200
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Entity Type | Organization
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Legal Business Name | AMERICARE PHARMACY SERVICES LLC
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Dates
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Enumeration Date | 05/13/2009
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Last Update Date | 04/20/2010
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Provider Practice Location Address
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Address Line | 621 E 15TH ST SUITE D
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City | COOKEVILLE
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State | TN
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Zip | 38501-1875
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Country | US
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Telephone | 931-528-0070
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Fax | 866-471-1114
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Provider Business Mailing Address
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Address Line | 621 E 15TH ST SUITE D
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City | COOKEVILLE
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State | TN
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Zip | 38501-1875
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Country | US
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Telephone | 931-528-0080
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Fax | 866-471-1114
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Authorized Official
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Title or Position | PHARMACIST, GENERAL MANAGER
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Name | MR. JAMES R DUNHAM
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Credential |
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Telephone | 931-528-0070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 4642
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License Number State | TN
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