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General NPI Number Information
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NPI Number | 1225178387
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Entity Type | Organization
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Legal Business Name | RED RIVER PHARMACY DIV. OF RAPIDES REGIONAL MEDICAL CENTER
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 12/19/2013
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Provider Practice Location Address
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Address Line | 211 FOURTH ST
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City | ALEXANDRIA
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State | LA
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Zip | 71301
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Country | US
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Telephone | 318-769-3082
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Fax | 318-769-7076
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Provider Business Mailing Address
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Address Line | 211 FOURTH ST
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City | ALEXANDRIA
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State | LA
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Zip | 71301
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Country | US
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Telephone | 318-769-3082
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Fax | 318-769-7076
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Authorized Official
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Title or Position | COO, RRMC
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Name | MR. JAMES ROBERT BEATTY IV
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Credential |
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Telephone | 318-769-3156
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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 | 2766 IR
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License Number State | LA
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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 | LA
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