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General NPI Number Information
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NPI Number | 1093620627
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Entity Type | Organization
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Legal Business Name | MARMADUKE PHARMACY, LLC
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Dates
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Enumeration Date | 08/18/2026
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Last Update Date | 08/18/2026
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Provider Practice Location Address
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Address Line | 11901 US 49 N
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City | MARMADUKE
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State | AR
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Zip | 72443
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Country | US
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Telephone | 870-597-2911
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Fax | 870-597-2217
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Provider Business Mailing Address
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Address Line | 11901 US 49 N
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City | MARMADUKE
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State | AR
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Zip | 72443
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Country | US
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Telephone | 870-597-2911
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Fax | 870-597-2217
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Authorized Official
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Title or Position | OWNER
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Name | SHANNON MARIE HAYWOOD
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Credential | PHARMD.
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Telephone | 870-595-4066
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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