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General NPI Number Information
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NPI Number | 1073164281
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Entity Type | Organization
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Legal Business Name | HARRISBURG FAMILY PHARMACY
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Dates
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Enumeration Date | 09/28/2019
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Last Update Date | 09/26/2024
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Provider Practice Location Address
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Address Line | 1104 N ILLINOIS ST STE D
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City | HARRISBURG
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State | AR
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Zip | 72432-1145
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Country | US
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Telephone | 870-926-3458
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Fax | 870-336-1949
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Provider Business Mailing Address
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Address Line | 1104 N ILLINOIS ST STE D
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City | HARRISBURG
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State | AR
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Zip | 72432-1145
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Country | US
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Telephone | 870-578-0670
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Fax | 870-578-0671
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Authorized Official
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Title or Position | MANAGER/OWNER
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Name | DR. RIAN R SNELL
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Credential | PHARMD
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Telephone | 870-578-0670
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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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