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NPI 1265587901

NPI 1265587901 : REFF DRUGS INC : JONESBORO, GA

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General NPI Number Information
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    NPI Number           |    1265587901
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    Entity Type          |    Organization 
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    Legal Business Name  |    REFF DRUGS INC 
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Dates
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    Enumeration Date     |    01/24/2007
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    Last Update Date     |    12/16/2016
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Provider Practice Location Address
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    Address Line         |    188 UPPER RIVERDALE RD #C
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    City                 |    JONESBORO
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    State                |    GA
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    Zip                  |    30236-1108
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    Country              |    US
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    Telephone            |    770-603-5555
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    Fax                  |    770-603-5565
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Provider Business Mailing Address
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    Address Line         |    751 WOODMONT DR 
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    City                 |    MARIETTA
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    State                |    GA
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    Zip                  |    30062-3834
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    Country              |    US
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    Telephone            |    404-840-9934
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    Fax                  |    770-603-5565
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Authorized Official
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    Title or Position    |    PIC
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    Name                 |     OLA  REFFELL 
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    Credential           |    RPH
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    Telephone            |    770-603-5555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3336L0003X
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    Taxonomy Name        |    Long Term Care 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        |    3336S0011X
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    Taxonomy Name        |    Specialty Pharmacy
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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       |    PHRE009119
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    License Number State |    GA
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