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General NPI Number Information
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NPI Number | 1942341391
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Entity Type | Organization
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Legal Business Name | APOTHECARE PHARMACY OF ELIZABETHTOWN P S C
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 03/16/2022
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Provider Practice Location Address
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Address Line | 1028 N DIXIE AVE STE 100
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-2522
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Country | US
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Telephone | 270-982-0303
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Fax | 270-982-2183
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Provider Business Mailing Address
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Address Line | 1028 N DIXIE AVE STE 100
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-2522
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Country | US
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Telephone | 270-982-0303
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Fax | 270-982-2183
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Authorized Official
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Title or Position | PRESIDENT
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Name | GARY HAMM
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Credential |
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Telephone | 270-982-0303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 333600000X
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Taxonomy Name | 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 | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | P07165
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License Number State | KY
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