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General NPI Number Information
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NPI Number | 1124313267
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Entity Type | Organization
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Legal Business Name | HOT SPRINGS PHARMACY, LLC
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Dates
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Enumeration Date | 06/16/2011
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Last Update Date | 10/12/2021
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Provider Practice Location Address
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Address Line | 1210 AIRPORT RD
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City | HOT SPRINGS
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State | AR
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Zip | 71913-5334
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Country | US
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Telephone | 501-760-2444
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Fax | 501-760-2449
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Provider Business Mailing Address
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Address Line | PO BOX 2085
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City | HOT SPRINGS
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State | AR
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Zip | 71914-2085
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Country | US
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Telephone | 501-760-2444
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Fax | 501-760-2449
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Authorized Official
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Title or Position | PIC, MANAGING PARTNER
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Name | MS. ADUSTON STANFORD SPIVEY
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Credential | RPH
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Telephone | 501-767-0573
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | AR20658
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License Number State | AR
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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 | AR20658
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License Number State | AR
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