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General NPI Number Information
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NPI Number | 1053311969
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Entity Type | Organization
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Legal Business Name | POWER FAMILY ENTERPRISES INC
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Dates
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Enumeration Date | 07/21/2005
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Last Update Date | 09/16/2019
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Provider Practice Location Address
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Address Line | 1310 S 4TH ST
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City | NASHVILLE
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State | AR
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Zip | 71852-3007
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Country | US
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Telephone | 870-845-1413
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Fax | 870-845-2304
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Provider Business Mailing Address
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Address Line | PO BOX 147
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City | NASHVILLE
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State | AR
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Zip | 71852-0147
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Country | US
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Telephone | 870-845-1413
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Fax | 870-845-2304
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Authorized Official
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Title or Position | PHARMACIST
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Name | JACQUE HOWARD
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Credential | PD
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Telephone | 870-845-1413
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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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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 05046
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License Number State | AR
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