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General NPI Number Information
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NPI Number | 1104811173
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Entity Type | Organization
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Legal Business Name | LAWS DRUG CO INC
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Dates
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Enumeration Date | 09/15/2005
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Last Update Date | 10/19/2022
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Provider Practice Location Address
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Address Line | 6802 ROGERS AVE STE 2
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City | FORT SMITH
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State | AR
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Zip | 72903-4010
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Country | US
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Telephone | 479-452-6116
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Fax | 479-484-7409
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Provider Business Mailing Address
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Address Line | 6802 ROGERS AVE STE 2
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City | FORT SMITH
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State | AR
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Zip | 72903-4010
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Country | US
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Telephone | 479-452-6116
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Fax | 479-484-7409
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Authorized Official
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Title or Position | OWNER
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Name | JOSEPH KORKAMES
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Credential | BS
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Telephone | 479-452-6116
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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 | AR10491
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License Number State | AR
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