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General NPI Number Information
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NPI Number | 1275669517
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Entity Type | Organization
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Legal Business Name | RHODES & ROBBY DRUGS INC
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 10/04/2013
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Provider Practice Location Address
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Address Line | 114 BROOKS STREET
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City | PELAHATCHIE
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State | MS
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Zip | 39145-0249
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Country | US
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Telephone | 601-854-8252
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Fax | 601-854-6057
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Provider Business Mailing Address
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Address Line | PO BOX 249 114 BROOKS STREET
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City | PELAHATCHIE
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State | MS
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Zip | 39145-0249
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Country | US
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Telephone | 601-854-8252
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Fax | 601-854-6057
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Authorized Official
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Title or Position | PHARMACIST
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Name | MR. JACK HALSEY RHODES
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Credential | RPH
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Telephone | 601-854-8252
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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 | 00253
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License Number State | MS
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