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General NPI Number Information
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NPI Number | 1023420445
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Entity Type | Organization
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Legal Business Name | PHPH, LLC
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Dates
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Enumeration Date | 05/21/2014
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Last Update Date | 01/05/2023
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Provider Practice Location Address
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Address Line | 313 ARKANSAS ST
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City | FORREST CITY
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State | AR
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Zip | 72335-2125
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Country | US
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Telephone | 870-633-7474
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Fax | 870-633-7475
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Provider Business Mailing Address
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Address Line | 313 ARKANSAS ST
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City | FORREST CITY
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State | AR
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Zip | 72335-2125
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Country | US
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Telephone | 870-633-7474
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Fax | 870-633-7475
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Authorized Official
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Title or Position | OWNER/PHARMACIST IN CHARGE
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Name | DR. LAURA ELIZABETH HARRIS
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Credential | PHARM.D.
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Telephone | 870-633-7474
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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 | AR20747
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License Number State | AR
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