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General NPI Number Information
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NPI Number | 1336378611
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Entity Type | Organization
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Legal Business Name | RXS COLUMBUS LLC
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Dates
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Enumeration Date | 07/08/2009
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Last Update Date | 10/28/2009
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Provider Practice Location Address
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Address Line | 2320 5TH ST N
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City | COLUMBUS
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State | MS
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Zip | 39705-2214
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Country | US
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Telephone | 662-840-9918
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Fax | 662-840-6411
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Provider Business Mailing Address
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Address Line | PO BOX 3308
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City | TUPELO
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State | MS
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Zip | 38803-3308
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Country | US
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Telephone | 662-840-9918
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Fax | 662-840-6411
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Authorized Official
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Title or Position | OWNER
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Name | DOUG WRIGHT
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Credential |
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Telephone | 662-680-3148
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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 | 08121
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License Number State | MS
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