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General NPI Number Information
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NPI Number | 1962227488
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Entity Type | Organization
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Legal Business Name | EZ RX OF GLASGOW INC.
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Dates
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Enumeration Date | 11/19/2024
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 195 N L ROGERS WELLS BLVD
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City | GLASGOW
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State | KY
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Zip | 42141-1172
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Country | US
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Telephone | 270-629-3979
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Fax | 270-629-3936
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Provider Business Mailing Address
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Address Line | 195 N L ROGERS WELLS BLVD
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City | GLASGOW
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State | KY
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Zip | 42141-1172
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Country | US
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Telephone | 270-629-3979
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Fax | 270-629-3936
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEVE JESSEE
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Credential |
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Telephone | 270-629-3979
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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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