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General NPI Number Information
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NPI Number | 1952312530
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Entity Type | Organization
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Legal Business Name | BLOUNT DISCOUNT PHARMACY INC
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 152 BMH PHYSICIANS OFFICE BLDG
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City | MARYVILLE
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State | TN
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Zip | 37804-5902
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Country | US
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Telephone | 865-983-9795
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Fax | 865-983-8758
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Provider Business Mailing Address
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Address Line | 152 BMH PHYSICIANS OFFICE BLDG
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City | MARYVILLE
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State | TN
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Zip | 37804-5902
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Country | US
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Telephone | 865-983-9795
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Fax | 865-983-8758
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Authorized Official
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Title or Position | PHARMACIST/OWNER
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Name | AMANDA ODUM
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Credential | PHARMD
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Telephone | 865-681-0520
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 0000002991
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License Number State | TN
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