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NPI 1386421287

NPI 1386421287 : EDDINGTON PHARMACEUTICALS INC : MARMADUKE, AR

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General NPI Number Information
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    NPI Number           |    1386421287
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    Entity Type          |    Organization 
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    Legal Business Name  |    EDDINGTON PHARMACEUTICALS INC 
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Dates
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    Enumeration Date     |    09/13/2023
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    Last Update Date     |    09/13/2023
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Provider Practice Location Address
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    Address Line         |    11901 HWY. 49 NORTH 
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    City                 |    MARMADUKE
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    State                |    AR
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    Zip                  |    72443
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    Country              |    US
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    Telephone            |    870-597-2911
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    Fax                  |    870-597-2217
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Provider Business Mailing Address
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    Address Line         |    PO BOX 358 
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    City                 |    MARMADUKE
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    State                |    AR
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    Zip                  |    72443-0358
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    Country              |    US
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    Telephone            |    870-597-2911
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    Fax                  |    870-597-2217
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Authorized Official
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    Title or Position    |    OWNER/PIC
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    Name                 |     DAVID BRADLEY EDDINGTON 
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    Credential           |    P.D.
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    Telephone            |    870-597-2911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3336L0003X
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    Taxonomy Name        |    Long Term Care Pharmacy
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    License Number       |    
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    License Number State |    
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