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General NPI Number Information
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NPI Number | 1952498164
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Entity Type | Organization
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Legal Business Name | PYLES PHARMACY, INC.
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Dates
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Enumeration Date | 10/07/2006
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Last Update Date | 06/15/2016
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Provider Practice Location Address
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Address Line | 706 JAMESTOWN STREET
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City | COLUMBIA
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State | KY
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Zip | 42728
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Country | US
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Telephone | 270-384-5874
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Fax |
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Provider Business Mailing Address
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Address Line | 706 JAMESTOWN STREET
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City | COLUMBIA
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State | KY
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Zip | 42728
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Country | US
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Telephone | 270-384-5874
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Fax |
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Authorized Official
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Title or Position | PIC
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Name | MRS. SHEILA P BRYANT
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Credential | RPH
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Telephone | 270-384-5874
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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 | PO2475
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License Number State | KY
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