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General NPI Number Information
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NPI Number | 1366542318
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Entity Type | Organization
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Legal Business Name | GUFFEYS PHARMACY INC
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 04/19/2010
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Provider Practice Location Address
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Address Line | 172 HWY 62 E SUITE 2
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City | SALEM
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State | AR
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Zip | 72576-0155
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Country | US
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Telephone | 870-895-2143
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Fax | 870-895-3788
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Provider Business Mailing Address
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Address Line | PO BOX 979
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City | SALEM
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State | AR
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Zip | 72576-0979
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Country | US
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Telephone | 870-895-2143
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Fax | 870-895-3788
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARK GUFFEY
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Credential |
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Telephone | 870-895-2143
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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 | AR05969
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License Number State | AR
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