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General NPI Number Information
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NPI Number | 1295711786
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Entity Type | Organization
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Legal Business Name | RAYNE PHARMACY, INC
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Dates
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Enumeration Date | 12/16/2005
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Last Update Date | 02/02/2009
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Provider Practice Location Address
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Address Line | 713 CURTIS DR
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City | RAYNE
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State | LA
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Zip | 70578-8311
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Country | US
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Telephone | 337-334-5105
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Fax | 337-334-9424
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Provider Business Mailing Address
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Address Line | 713 CURTIS DR
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City | RAYNE
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State | LA
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Zip | 70578-8311
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Country | US
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Telephone | 337-334-5105
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Fax | 337-334-9424
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | JOHN DAVID REED
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Credential | RPH
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Telephone | 337-334-5105
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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 | 3537IR
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License Number State | LA
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