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General NPI Number Information
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NPI Number | 1104913342
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Entity Type | Organization
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Legal Business Name | NORTHSIDE FAMILY PHARMACY
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Dates
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Enumeration Date | 10/09/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 850 COCKERHAM RD
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City | DENHAM SPRINGS
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State | LA
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Zip | 70726-2645
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Country | US
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Telephone | 225-664-9520
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Fax | 225-664-5769
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Provider Business Mailing Address
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Address Line | 850 COCKERHAM RD
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City | DENHAM SPRINGS
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State | LA
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Zip | 70726-2645
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Country | US
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Telephone | 225-664-9520
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Fax | 225-664-5769
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GARY SCOTT MAPLES
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Credential |
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Telephone | 225-664-9520
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 11338
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License Number State | LA
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