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General NPI Number Information
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NPI Number | 1972294163
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Entity Type | Organization
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Legal Business Name | NOBLE DRUG, INC.
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Dates
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Enumeration Date | 05/17/2023
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Last Update Date | 09/12/2023
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Provider Practice Location Address
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Address Line | 521 E ELM ST
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City | LEBANON
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State | MO
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Zip | 65536-3360
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Country | US
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Telephone | 417-344-0586
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Fax | 855-532-5426
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Provider Business Mailing Address
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Address Line | 521 E ELM ST
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City | LEBANON
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State | MO
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Zip | 65536-3360
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Country | US
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Telephone | 573-201-7430
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHANNON WELCH
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Credential | REGISTERED PHARMACIS
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Telephone | 573-201-7430
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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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