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General NPI Number Information
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NPI Number | 1891263786
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Entity Type | Organization
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Legal Business Name | MILLENNIUM RX CORP
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Dates
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Enumeration Date | 11/08/2018
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Last Update Date | 01/17/2020
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Provider Practice Location Address
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Address Line | 3384 N MOUNT JULIET RD STE 1000
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City | MOUNT JULIET
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State | TN
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Zip | 37122-0011
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Country | US
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Telephone | 615-754-2010
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Fax |
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Provider Business Mailing Address
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Address Line | 3384 N MOUNT JULIET RD STE 1000
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City | MOUNT JULIET
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State | TN
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Zip | 37122-0011
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Country | US
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Telephone | 615-667-6611
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Fax | 615-549-5310
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Authorized Official
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Title or Position | OWNER
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Name | IN SUN HWANG
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Credential |
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Telephone | 615-667-6611
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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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