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General NPI Number Information
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NPI Number | 1215875034
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Entity Type | Organization
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Legal Business Name | MARMADUKE PHARMACY, LLC
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Dates
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Enumeration Date | 03/23/2026
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Last Update Date | 03/23/2026
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Provider Practice Location Address
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Address Line | 11901 HIGHWAY 49
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City | MARMADUKE
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State | AR
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Zip | 72443
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Country | US
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Telephone | 870-597-2911
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Fax |
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Provider Business Mailing Address
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Address Line | 316 E 9TH ST
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City | RECTOR
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State | AR
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Zip | 72461-2606
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHANNON MARIE HAYWOOD
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Credential | PHARMD.
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Telephone | 870-595-4066
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care 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 | 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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