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General NPI Number Information
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NPI Number | 1093863037
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Entity Type | Organization
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Legal Business Name | REDFIELD PHARMACY MANGEMENT LLC
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 05/08/2020
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Provider Practice Location Address
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Address Line | 1017 SHERIDAN ROAD #3
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City | REDFIELD
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State | AR
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Zip | 72132-0326
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Country | US
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Telephone | 501-397-5400
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Fax | 501-397-2218
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Provider Business Mailing Address
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Address Line | PO BOX 326
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City | REDFIELD
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State | AR
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Zip | 72132-0326
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Country | US
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Telephone | 501-397-5400
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Fax | 501-397-2218
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | BRANDON ACHOR
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Credential | PHARMD
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Telephone | 501-681-5740
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | AR19045
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License Number State | AR
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