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General NPI Number Information
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NPI Number | 1235152216
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Entity Type | Organization
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Legal Business Name | CARR DRUGS COMPOUNDING & WELLNESS
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 11/22/2021
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Provider Practice Location Address
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Address Line | 91 WESTBANK EXPY STE 550
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City | GRETNA
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State | LA
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Zip | 70053-3688
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Country | US
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Telephone | 43-501-6405
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Fax | 504-350-1641
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Provider Business Mailing Address
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Address Line | 91 WESTBANK EXPY STE 550
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City | GRETNA
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State | LA
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Zip | 70053-3688
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Country | US
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Telephone | 504-350-1640
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Fax | 504-350-1641
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Authorized Official
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Title or Position | DIRECTOR
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Name | RANDY CARR
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Credential | RPH
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Telephone | 504-914-5998
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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 | 1989IR
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License Number State | LA
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