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General NPI Number Information
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NPI Number | 1073255584
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Entity Type | Organization
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Legal Business Name | 5RX THERAPEUTICS LLC
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Dates
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Enumeration Date | 04/13/2022
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Last Update Date | 04/13/2022
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Provider Practice Location Address
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Address Line | 3209 S COBB DR SE STE F1
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City | SMYRNA
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State | GA
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Zip | 30080-4160
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Country | US
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Telephone | 678-239-4568
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Fax | 678-239-4625
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Provider Business Mailing Address
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Address Line | 3209 S COBB DR SE STE F1
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City | SMYRNA
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State | GA
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Zip | 30080-4160
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Country | US
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Telephone | 678-239-4568
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Fax | 678-239-4625
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Authorized Official
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Title or Position | OWNER
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Name | DR. KEVON JASON PIERRE
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Credential | PHARMD
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Telephone | 305-600-8815
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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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