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General NPI Number Information
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NPI Number | 1336141381
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Entity Type | Organization
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Legal Business Name | CRX SPECIALTY SOLUTION PHARMACY, LLC
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Dates
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Enumeration Date | 06/02/2005
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 407 BIENVILLE ST
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City | NATCHITOCHES
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State | LA
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Zip | 71457-5702
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Country | US
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Telephone | 877-646-1716
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Fax | 901-613-0605
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Provider Business Mailing Address
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Address Line | 407 BIENVILLE ST
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City | NATCHITOCHES
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State | LA
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Zip | 71457-5702
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Country | US
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Telephone | 877-646-1716
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Fax | 901-613-0605
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Authorized Official
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Title or Position | SENIOR VICE PRESIDENT
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Name | STEVEN M COBB
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Credential |
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Telephone | 877-646-1716
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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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 | 3336M0002X
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Taxonomy Name | Mail Order 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 | 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 #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHY.007399-IR
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License Number State | LA
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