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General NPI Number Information
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NPI Number | 1356450100
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Entity Type | Organization
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Legal Business Name | RAGAN REXALL DRUG
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 309 S MAIN
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City | STUTTGART
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State | AR
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Zip | 72160-4356
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Country | US
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Telephone | 870-673-2741
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Fax | 870-673-3016
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Provider Business Mailing Address
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Address Line | 309 S MAIN
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City | STUTTGART
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State | AR
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Zip | 72160-4356
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Country | US
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Telephone | 870-673-2741
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Fax | 870-673-3016
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Authorized Official
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Title or Position | PHARMACIST OWNER
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Name | MR. R NORRIS RAGAN
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Credential | B S PHARMACY
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Telephone | 870-673-2741
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PD05278
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number | L0239
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License Number State | AR
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