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General NPI Number Information
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NPI Number | 1295525996
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Entity Type | Organization
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Legal Business Name | BRANSON DRUG LLC
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Dates
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Enumeration Date | 05/07/2025
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 168 S PAYNE STEWART DR STE 150
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City | BRANSON
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State | MO
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Zip | 65616-2709
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Country | US
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Telephone | 417-527-0585
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Fax |
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Provider Business Mailing Address
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Address Line | 168 S PAYNE STEWART DR STE 150
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City | BRANSON
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State | MO
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Zip | 65616-2709
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Country | US
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Telephone | 417-335-1495
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Fax | 844-476-0043
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Authorized Official
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Title or Position | OWNER
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Name | MR. BRIAN SCOTT BURNEY
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Credential | R.PH.
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Telephone | 417-335-1495
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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 |
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License Number State |
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