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General NPI Number Information
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NPI Number | 1326029448
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Entity Type | Organization
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Legal Business Name | R.C.MCDONALD CO INC
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Dates
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Enumeration Date | 11/07/2005
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 1701 CHARTER ST
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City | JACKSON
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State | LA
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Zip | 70748-5927
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Country | US
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Telephone | 225-634-2470
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Fax | 225-634-7975
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Provider Business Mailing Address
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Address Line | 1701 CHARTER ST PO BOX 306
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City | JACKSON
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State | LA
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Zip | 70748-5927
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Country | US
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Telephone | 225-634-2470
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Fax | 225-634-7975
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | MICHAEL K. TOMB
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Credential | RPH
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Telephone | 225-634-2470
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 2228
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | PHY.002228-IR
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License Number State | LA
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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 |
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License Number State |
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