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General NPI Number Information
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NPI Number | 1093118945
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Entity Type | Organization
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Legal Business Name | IVY FAMILY PHARMACY, INC
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Dates
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Enumeration Date | 10/07/2014
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 120 S 4TH ST
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City | HEBER SPRINGS
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State | AR
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Zip | 72543-3810
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Country | US
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Telephone | 501-362-5853
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Fax | 501-362-5854
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Provider Business Mailing Address
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Address Line | 120 S 4TH ST
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City | HEBER SPRINGS
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State | AR
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Zip | 72543-3810
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Country | US
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Telephone | 501-362-5853
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Fax | 501-362-5854
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Authorized Official
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Title or Position | PHARMACIST
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Name | DR. JAMIE CAROL IVY
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Credential |
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Telephone | 501-206-7301
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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 | AR07038
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License Number State | AR
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