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General NPI Number Information
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NPI Number | 1073866893
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Entity Type | Organization
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Legal Business Name | CANTRELL COMPOUNDING, INC.
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Dates
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Enumeration Date | 10/17/2012
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Last Update Date | 10/17/2012
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Provider Practice Location Address
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Address Line | 7321 CANTRELL RD
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City | LITTLE ROCK
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State | AR
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Zip | 72207-4144
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Country | US
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Telephone | 501-663-6368
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Fax | 501-907-5978
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Provider Business Mailing Address
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Address Line | 7321 CANTRELL RD
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City | LITTLE ROCK
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State | AR
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Zip | 72207-4144
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Country | US
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Telephone | 501-663-6368
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Fax | 501-907-5978
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JAMES L MCCARLEY JR.
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Credential | P.D.
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Telephone | 501-663-3642
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | AR20682
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License Number State | AR
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