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General NPI Number Information
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NPI Number | 1083797062
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Entity Type | Organization
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Legal Business Name | DURDEN & RIGGS PHARMACY
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 12/29/2008
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Provider Practice Location Address
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Address Line | 17 W MAIN ST
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City | STATESBORO
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State | GA
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Zip | 30458-5315
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Country | US
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Telephone | 912-764-5613
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Fax | 912-764-6210
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Provider Business Mailing Address
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Address Line | 17 W MAIN ST
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City | STATESBORO
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State | GA
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Zip | 30458-5315
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Country | US
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Telephone | 912-764-5613
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Fax | 912-764-6210
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Authorized Official
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Title or Position | PHARMACIST
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Name | JAMES LESTER RIGGS
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Credential | R. PH
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Telephone | 19127645613
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 002899
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License Number State | GA
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