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General NPI Number Information
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NPI Number | 1205912045
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Entity Type | Organization
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Legal Business Name | BRINKHAUS THRIFTY WAY PHARMACY
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Dates
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Enumeration Date | 10/27/2006
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Last Update Date | 05/21/2013
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Provider Practice Location Address
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Address Line | 127 ACORN DRIVE
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City | SUNSET
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State | LA
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Zip | 70584-6100
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Country | US
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Telephone | 337-662-5236
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Fax | 337-662-3999
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Provider Business Mailing Address
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Address Line | 127 ACORN DR.
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City | SUNSET
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State | LA
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Zip | 70584-6100
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Country | US
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Telephone | 337-662-5236
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Fax | 337-662-3999
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Authorized Official
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Title or Position | PRESIDENT/CHIEF PHARMACIST
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Name | MR. SCOTTIE JAMES KNOTT
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Credential | P.D
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Telephone | 337-662-5236
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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 | 5820 IR
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License Number State | LA
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