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General NPI Number Information
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NPI Number | 1912070525
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Entity Type | Organization
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Legal Business Name | NIES PHARMACY INC
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 12/06/2012
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Provider Practice Location Address
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Address Line | 11745 MADISON PIKE
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City | INDEPENDENCE
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State | KY
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Zip | 41051-8637
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Country | US
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Telephone | 859-356-3941
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Fax | 859-356-0338
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Provider Business Mailing Address
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Address Line | 11745 MADISON PIKE
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City | INDEPENDENCE
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State | KY
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Zip | 41051-8637
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Country | US
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Telephone | 859-356-3941
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Fax | 859-356-0338
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOHN NIE
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Credential | RPH.
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Telephone | 859-356-3941
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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 | P06272
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number | P06272
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | P06272
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License Number State | KY
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