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General NPI Number Information
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NPI Number | 1083376990
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Entity Type | Organization
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Legal Business Name | COMMUNITY RX
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Dates
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Enumeration Date | 10/07/2021
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 1003 S SPRUCE ST
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City | VIVIAN
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State | LA
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Zip | 71082-3200
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Country | US
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Telephone | 318-375-3180
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Fax | 318-731-3035
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Provider Business Mailing Address
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Address Line | PO BOX 792
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City | VIVIAN
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State | LA
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Zip | 71082-0792
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DAVID JONES
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Credential |
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Telephone | 318-375-4008
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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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