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General NPI Number Information
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NPI Number | 1265929087
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Entity Type | Organization
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Legal Business Name | FLOWERS PHARMACY LLC
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Dates
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Enumeration Date | 04/17/2018
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Last Update Date | 04/17/2018
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Provider Practice Location Address
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Address Line | 1401 STATE STREET SUITE A
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City | PINE BLUFF
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State | AR
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Zip | 71601-5856
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Country | US
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Telephone | 870-534-8366
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Fax | 870-534-2113
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Provider Business Mailing Address
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Address Line | 1401 STATE STREET SUITE A
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City | PINE BLUFF
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State | AR
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Zip | 71601-5856
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Country | US
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Telephone | 870-534-8366
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Fax | 870-534-2113
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Authorized Official
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Title or Position | PRESIDENT/PHARMACIST
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Name | MR. CLIFFORD RASPBERRY FLOWERS SR.
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Credential | RPH
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Telephone | 870-540-6404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | AR10958
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License Number State | AR
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