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General NPI Number Information
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NPI Number | 1104981539
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Entity Type | Organization
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Legal Business Name | R & E DRUGS LLC
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Dates
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Enumeration Date | 12/26/2006
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Last Update Date | 11/23/2010
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Provider Practice Location Address
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Address Line | 1919 MAIN ST
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City | FRANKLINTON
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State | LA
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Zip | 70438-3689
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Country | US
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Telephone | 985-839-4486
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Fax | 985-839-7704
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Provider Business Mailing Address
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Address Line | PO BOX 771 1919 MAIN ST.
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City | FRANKLINTON
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State | LA
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Zip | 70438-0771
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Country | US
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Telephone | 985-839-4486
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Fax | 985-839-7704
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Authorized Official
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Title or Position | OWNER AND PIC
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Name | JAMES RANDALL STAFFORD II
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Credential | RPH
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Telephone | 985-839-4486
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 5316IR
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License Number State | LA
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