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General NPI Number Information
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NPI Number | 1144874868
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Entity Type | Organization
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Legal Business Name | WHITNEY HARRIS DRUGS, INC.
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Dates
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Enumeration Date | 07/31/2019
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Last Update Date | 07/31/2019
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Provider Practice Location Address
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Address Line | 1200 EASTOVER DR STE 175
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City | JACKSON
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State | MS
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Zip | 39211-6317
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Country | US
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Telephone | 601-953-3368
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 16360
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City | JACKSON
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State | MS
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Zip | 39236-6360
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Country | US
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Telephone | 601-953-3368
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Fax |
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Authorized Official
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Title or Position | PIC/OWNER
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Name | ANDREA WHITNEY HARRIS
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Credential |
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Telephone | 601-953-3368
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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 |
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License Number State |
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