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General NPI Number Information
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NPI Number | 1881867943
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Entity Type | Organization
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Legal Business Name | EFILLRX LLC
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Dates
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Enumeration Date | 04/10/2008
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Last Update Date | 02/17/2012
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Provider Practice Location Address
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Address Line | 6400 DUTCHMANS PKWY STE 140
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City | LOUISVILLE
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State | KY
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Zip | 40205-3340
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Country | US
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Telephone | 502-259-5050
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Fax | 502-259-5051
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Provider Business Mailing Address
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Address Line | 6400 DUTCHMANS PKWY STE 140
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City | LOUISVILLE
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State | KY
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Zip | 40205-3340
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Country | US
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Telephone | 502-259-5050
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Fax | 502-259-5051
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARK MURPHY
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Credential |
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Telephone | 502-259-5050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order 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 | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | P07250
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License Number State | KY
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