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General NPI Number Information
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NPI Number | 1164290276
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Entity Type | Organization
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Legal Business Name | FARMAKEIO AR LLC
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Dates
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Enumeration Date | 12/18/2023
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Last Update Date | 12/18/2023
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Provider Practice Location Address
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Address Line | 1270 DONS LN
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City | CONWAY
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State | AR
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Zip | 72032-4753
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Country | US
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Telephone | 501-504-7112
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Fax |
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Provider Business Mailing Address
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Address Line | 1270 DONS LN
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City | CONWAY
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State | AR
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Zip | 72032-4753
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Country | US
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Telephone | 501-504-7112
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Fax |
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | DR. NATHAN GRIFFORD
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Credential | PHARMD
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Telephone | 501-504-7112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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