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General NPI Number Information
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NPI Number | 1346305497
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Entity Type | Organization
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Legal Business Name | EAST HEIGHTS PHARMACY INC
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1001 E MAIN ST
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City | TUPELO
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State | MS
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Zip | 38804-2829
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Country | US
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Telephone | 662-844-1921
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Fax | 662-842-7209
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Provider Business Mailing Address
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Address Line | 1001 E MAIN ST
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City | TUPELO
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State | MS
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Zip | 38804-2829
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Country | US
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Telephone | 662-844-1921
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Fax | 662-842-7209
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Authorized Official
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Title or Position | PHARMACIST AND OWNER
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Name | MR. JAMES E COMER
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Credential | RPH
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Telephone | 662-844-1921
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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 |
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License Number State |
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