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General NPI Number Information
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NPI Number | 1942451034
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Entity Type | Organization
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Legal Business Name | PENDLETON PHARMACISTS GROUP
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Dates
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Enumeration Date | 10/07/2008
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 45 KLEE WAY STE A
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City | FALMOUTH
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State | KY
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Zip | 41040-8510
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Country | US
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Telephone | 185-965-4323
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Fax | 185-965-4327
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Provider Business Mailing Address
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Address Line | 1100 W SHELBY ST
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City | FALMOUTH
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State | KY
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Zip | 41040-1046
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Country | US
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Telephone | 185-965-4323
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Fax | 185-965-4327
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Authorized Official
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Title or Position | OWNER/PHARMD
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Name | HEATHER FRONK
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Credential | PHARMD
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Telephone | 606-845-3421
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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 | P07273
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License Number State | KY
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