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General NPI Number Information
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NPI Number | 1235169103
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Entity Type | Organization
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Legal Business Name | FAMILY PHARMACY, INC
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 05/16/2011
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Provider Practice Location Address
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Address Line | 810 S MAIN ST
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City | HOPE
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State | AR
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Zip | 71801-6523
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Country | US
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Telephone | 870-777-2263
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Fax | 870-777-3325
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Provider Business Mailing Address
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Address Line | 810 S MAIN ST
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City | HOPE
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State | AR
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Zip | 71801-6523
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Country | US
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Telephone | 870-777-2263
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Fax | 870-777-3325
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | DR. LAURA BETH MARTIN
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Credential | PHARMD.
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Telephone | 870-777-2263
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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 | AR-0413649
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License Number State | AR
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