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General NPI Number Information
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NPI Number | 1235156704
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Entity Type | Organization
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Legal Business Name | SINCERERX HOMETOWN PHARMACY LLC
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 11/18/2021
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Provider Practice Location Address
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Address Line | 715 1ST AVENUE
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City | KINDER
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State | LA
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Zip | 70648
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Country | US
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Telephone | 337-738-2614
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Fax | 337-738-2523
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Provider Business Mailing Address
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Address Line | 715 1ST AVE
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City | KINDER
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State | LA
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Zip | 70648-3511
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Country | US
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Telephone | 337-738-2614
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Fax | 337-738-2523
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Authorized Official
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Title or Position | MANAGER
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Name | PETER SAAD
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Credential |
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Telephone | 318-259-7334
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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 #3
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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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