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General NPI Number Information
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NPI Number | 1225130628
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Entity Type | Organization
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Legal Business Name | ECONOMY DRUGS OF HUNTSVILLE INC
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Dates
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Enumeration Date | 09/05/2006
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Last Update Date | 10/27/2022
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Provider Practice Location Address
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Address Line | 601 N GASKILL ST
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City | HUNTSVILLE
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State | AR
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Zip | 72740-6001
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Country | US
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Telephone | 479-738-2620
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Fax | 479-738-6973
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Provider Business Mailing Address
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Address Line | PO BOX 157
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City | HUNTSVILLE
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State | AR
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Zip | 72740-0157
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Country | US
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Telephone | 479-738-2620
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Fax | 479-738-6973
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Authorized Official
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Title or Position | OWNER
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Name | HALEY RAY GILLHAM
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Credential |
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Telephone | 479-738-2620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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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 #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | AR03686
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License Number State | AR
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