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General NPI Number Information
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NPI Number | 1275105744
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Entity Type | Organization
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Legal Business Name | S&R PHARMACEUTICALS
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Dates
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Enumeration Date | 07/14/2021
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Last Update Date | 09/30/2021
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Provider Practice Location Address
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Address Line | 494 SPRINGHILL STREET
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City | JASPER
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State | TX
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Zip | 75951
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Country | US
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Telephone | 409-384-2215
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Fax | 409-384-2267
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Provider Business Mailing Address
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Address Line | 1606 S MARGARET AVE
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City | KIRBYVILLE
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State | TX
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Zip | 75956-2633
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Country | US
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Telephone | 409-384-2215
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Fax | 409-384-2267
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Authorized Official
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Title or Position | OWNER
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Name | CHAD E. WIGGINS
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Credential | PHARMD
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Telephone | 409-423-2215
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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 #3
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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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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