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General NPI Number Information
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NPI Number | 1942398995
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Entity Type | Organization
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Legal Business Name | COVERMYMEDS PHARMACY LLC
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 09/10/2024
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Provider Practice Location Address
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Address Line | 5101 JEFF COMMERCE DR STE A
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City | LOUISVILLE
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State | KY
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Zip | 40219-3336
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Country | US
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Telephone | 800-810-1184
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Fax | 502-753-8393
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Provider Business Mailing Address
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Address Line | 5101 JEFF COMMERCE DRIVE SUITE A
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City | LOUISVILLE
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State | KY
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Zip | 40219-3336
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Country | US
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Telephone | 800-810-1184
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Fax | 502-753-8393
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Authorized Official
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Title or Position | PRESIDENT; MANAGER
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Name | MR. DERRICK ALAN STURGILL
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Credential |
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Telephone | 513-465-4992
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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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Taxonomy #2
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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 #3
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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 #4
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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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