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General NPI Number Information
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NPI Number | 1366578155
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Entity Type | Organization
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Legal Business Name | BIG D'S DISCOUNT DRUGS
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 38 OAK ST
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City | JACKSON
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State | GA
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Zip | 30233-1941
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Country | US
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Telephone | 770-775-7650
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Fax | 770-775-2715
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Provider Business Mailing Address
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Address Line | PO BOX 189
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City | JACKSON
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State | GA
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Zip | 30233-0005
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Country | US
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Telephone | 770-775-7650
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Fax | 770-775-2715
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Authorized Official
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Title or Position | OWNER PHARMACIST
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Name | DAN NEWTON HOARD
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Credential |
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Telephone | 770-775-7650
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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 | PHRE008515
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License Number State | GA
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