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General NPI Number Information
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NPI Number | 1316073059
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Entity Type | Organization
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Legal Business Name | PHARMACQ INC
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 08/22/2019
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Provider Practice Location Address
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Address Line | 11316 HURON LN
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City | LITTLE ROCK
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State | AR
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Zip | 72211
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Country | US
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Telephone | 501-225-5056
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Fax | 501-221-7632
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Provider Business Mailing Address
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Address Line | 1801 S BROADWAY
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City | LITTLE ROCK
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State | AR
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Zip | 72206
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Country | US
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Telephone | 501-374-6565
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Fax | 501-374-6231
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANDREW HARP
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Credential | PHARMD
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Telephone | 501-374-6565
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | AR11044
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License Number State | AR
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Taxonomy #4
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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Taxonomy #5
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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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