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NPI 1194943779

NPI 1194943779 : HOWELL SMITH DRUGGIST INC. : PAWTUCKET, RI

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General NPI Number Information
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    NPI Number           |    1194943779
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    Entity Type          |    Organization 
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    Legal Business Name  |    HOWELL SMITH DRUGGIST INC. 
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Dates
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    Enumeration Date     |    04/22/2007
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    Last Update Date     |    10/19/2007
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Provider Practice Location Address
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    Address Line         |    749 CENTRAL AVE 
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    City                 |    PAWTUCKET
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    State                |    RI
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    Zip                  |    02861-2101
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    Country              |    US
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    Telephone            |    401-725-7711
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    Fax                  |    401-725-1330
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Provider Business Mailing Address
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    Address Line         |    749 CENTRAL AVE 
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    City                 |    PAWTUCKET
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    State                |    RI
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    Zip                  |    02861-2101
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    Country              |    US
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    Telephone            |    401-725-7711
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    Fax                  |    401-725-1330
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. HOWELL JOSEPH SMITH III
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    Credential           |    RPH
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    Telephone            |    401-725-7711
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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       |    PHA00142
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    License Number State |    RI
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