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General NPI Number Information
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NPI Number | 1376193854
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Entity Type | Organization
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Legal Business Name | BALDWYN L&L PHARMACY LLC
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Dates
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Enumeration Date | 09/16/2019
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Last Update Date | 09/16/2019
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Provider Practice Location Address
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Address Line | 1025 NORTHRIDGE RD
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City | BALDWYN
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State | MS
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Zip | 38824-1173
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Country | US
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Telephone | 662-365-9975
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Fax |
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Provider Business Mailing Address
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Address Line | 175 UNION BELLE BLVD
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City | SALTILLO
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State | MS
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Zip | 38866-8106
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Country | US
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Telephone | 662-315-9426
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Fax | 662-365-9973
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Authorized Official
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Title or Position | PHARMACIST/PARTNER
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Name | ELIZABETH KIRKPATRICK
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Credential | PHARMD
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Telephone | 662-315-9426
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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 |
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License Number State |
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