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General NPI Number Information
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NPI Number | 1205991528
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Entity Type | Organization
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Legal Business Name | TRI - X DRUGS INC
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 08/22/2014
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Provider Practice Location Address
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Address Line | 881 HIGHWAY 198
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City | BEAUMONT
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State | MS
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Zip | 39423-2070
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Country | US
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Telephone | 601-784-3313
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Fax | 601-784-3310
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Provider Business Mailing Address
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Address Line | PO BOX 677
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City | BEAUMONT
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State | MS
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Zip | 39423-0677
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Country | US
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Telephone | 601-784-3313
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Fax | 601-784-3310
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Authorized Official
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Title or Position | VP
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Name | LARRY WOZENCRAFT
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Credential |
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Telephone | 601-784-3313
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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 | 01718/1.1
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License Number State | MS
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