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General NPI Number Information
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NPI Number | 1972595486
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Entity Type | Organization
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Legal Business Name | KERRVILLE DRUG CO., INC
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Dates
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Enumeration Date | 08/19/2005
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Last Update Date | 03/07/2024
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Provider Practice Location Address
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Address Line | 1050 JUNCTION HWY
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City | KERRVILLE
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State | TX
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Zip | 78028-4902
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Country | US
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Telephone | 830-895-2273
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Fax | 830-895-2769
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Provider Business Mailing Address
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Address Line | 1050 JUNCTION HWY
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City | KERRVILLE
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State | TX
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Zip | 78028-4902
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Country | US
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Telephone | 830-895-3784
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Fax | 830-895-4412
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Authorized Official
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Title or Position | VP/PIC
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Name | MELISSA LYNN SCHMIDT
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Credential |
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Telephone | 830-895-3784
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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 | 04925
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License Number State | TX
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