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General NPI Number Information
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NPI Number | 1205716859
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Entity Type | Organization
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Legal Business Name | YOUR COMMUNITY DISCOUNT PHARMACY
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Dates
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Enumeration Date | 09/04/2025
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 1950 ORMOND BLVD STE C-D
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City | DESTREHAN
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State | LA
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Zip | 70047-3810
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Country | US
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Telephone | 504-258-2922
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Fax | 504-269-3110
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Provider Business Mailing Address
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Address Line | 120 RHETT LN
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City | MONTZ
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State | LA
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Zip | 70068-8958
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Country | US
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Telephone | 504-258-2922
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Fax | 504-258-2922
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Authorized Official
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Title or Position | PHARMACIST
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Name | JANICE W MERRITT
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Credential | PHARM D
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Telephone | 504-258-2922
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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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