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General NPI Number Information
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NPI Number | 1093366577
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Entity Type | Organization
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Legal Business Name | COMMUNITY PHARMACY, LLC
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Dates
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Enumeration Date | 09/25/2019
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Last Update Date | 12/31/2019
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Provider Practice Location Address
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Address Line | 1101 N MAIN ST
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City | CALHOUN CITY
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State | MS
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Zip | 38916-9677
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Country | US
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Telephone | 662-600-0111
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Fax | 662-600-0010
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Provider Business Mailing Address
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Address Line | PO BOX 1222
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City | CALHOUN CITY
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State | MS
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Zip | 38916-1222
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Country | US
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Telephone | 626-600-0111
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Fax | 662-600-0010
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Authorized Official
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Title or Position | PHARMACIST
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Name | DR. APRIL STRICKLAND FITTS
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Credential | PHARM. D
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Telephone | 225-715-9146
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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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