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General NPI Number Information
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NPI Number | 1982866240
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Entity Type | Organization
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Legal Business Name | ORGAIN PHARMACY
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Dates
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Enumeration Date | 06/27/2008
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Last Update Date | 10/14/2010
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Provider Practice Location Address
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Address Line | 1025 WESTHAVEN BLVD STE 110
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City | FRANKLIN
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State | TN
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Zip | 37064-4894
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Country | US
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Telephone | 615-599-8744
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Fax |
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Provider Business Mailing Address
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Address Line | 214 MEADOWLARK CT
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City | DICKSON
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State | TN
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Zip | 37055-9050
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Country | US
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Telephone | 423-943-3266
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PAUL ORGAIN
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Credential |
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Telephone | 423-943-3266
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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 | 4515
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License Number State | TN
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