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General NPI Number Information
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NPI Number | 1992681977
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Entity Type | Organization
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Legal Business Name | WHITESBURG MEDICAL CENTER PHARMACY, INC.
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Dates
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Enumeration Date | 08/14/2025
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 9500 HWY 805
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City | JENKINS
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State | KY
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Zip | 41537
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Country | US
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Telephone | 606-832-6097
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Fax | 606-633-4570
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Provider Business Mailing Address
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Address Line | 2354 HWY 15
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City | WHITESBURG
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State | KY
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Zip | 41858
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Country | US
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Telephone | 606-633-2222
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Fax | 606-633-4570
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | EARNEST J WATTS
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Credential | PHARMACIST
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Telephone | 606-633-2222
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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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