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General NPI Number Information
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NPI Number | 1245240746
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Entity Type | Organization
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Legal Business Name | LAGRONE DRUG, INC.
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 201 N MAIN ST
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City | HAMBURG
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State | AR
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Zip | 71646-3264
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Country | US
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Telephone | 870-853-8666
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Fax | 870-853-8860
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Provider Business Mailing Address
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Address Line | 201 N MAIN ST
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City | HAMBURG
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State | AR
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Zip | 71646-3264
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Country | US
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Telephone | 870-853-8666
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Fax | 870-853-8860
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Authorized Official
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Title or Position | OWNER/PHARMACIST-IN-CHARGE
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Name | MRS. KELLI JANE PERRY
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Credential | PD
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Telephone | 870-853-8666
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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 | 03131
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License Number State | AR
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