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General NPI Number Information
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NPI Number | 1164968624
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Entity Type | Organization
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Legal Business Name | SAVER EXPRESS LLC
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Dates
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Enumeration Date | 01/09/2017
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Last Update Date | 03/27/2017
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Provider Practice Location Address
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Address Line | 1051 HIGHLAND COLONY PKWY STE C
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City | RIDGELAND
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State | MS
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Zip | 39157-7701
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Country | US
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Telephone | 601-368-8907
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Fax | 800-843-9320
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Provider Business Mailing Address
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Address Line | 1051 HIGHLAND COLONY PKWY STE C
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City | RIDGELAND
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State | MS
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Zip | 39157-7701
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Country | US
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Telephone | 601-368-8907
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Fax | 800-843-9320
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Authorized Official
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Title or Position | OWNER
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Name | FORD MUNDY
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Credential |
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Telephone | 601-990-9497
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 15113/1.1
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License Number State | MS
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