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General NPI Number Information
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NPI Number | 1346771284
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Entity Type | Organization
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Legal Business Name | DUBLIN DRUG COMPANY INC
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Dates
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Enumeration Date | 03/22/2017
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Last Update Date | 03/22/2017
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Provider Practice Location Address
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Address Line | 1911 MARION ST STE A
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City | DUBLIN
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State | GA
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Zip | 31021-2705
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Country | US
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Telephone | 478-304-5261
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Fax |
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Provider Business Mailing Address
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Address Line | 195 E DYKES ST
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City | COCHRAN
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State | GA
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Zip | 31014-6514
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | TRENTON SAMUEL MCDANIEL
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Credential |
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Telephone | 478-298-2073
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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 | PHRE010350
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License Number State | GA
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