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NPI Code Detail

MEDICARE: MR. MACY LYNN BELDEN RPH

MEDICARE: MR. MACY LYNN BELDEN RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist011707KY

General Provider Information

NPI Number : 1982987038
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MACY LYNN BELDEN RPH
Provider Business Mailing Address
First Line : 1001 W MAIN ST
Second Line :
City : GLASGOW
State : KY
Zip : 42141-1119
Country : US
Telephone Number : 270-651-0471
Fax Number : 270-659-0147
Provider Business Practice Location Address
First Line : 1001 W MAIN ST
Second Line :
City : GLASGOW
State : KY
Zip : 42141-1119
Country : US
Telephone Number : 270-651-0471
Fax Number : 270-659-0147
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2011
Last Update Date : 09/26/2011

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