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General NPI Number Information
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NPI Number | 1396761243
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Entity Type | Organization
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Legal Business Name | MARKET PHARMACY INC
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 03/23/2015
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Provider Practice Location Address
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Address Line | 209 EDGEWOOD AVE SE
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City | ATLANTA
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State | GA
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Zip | 30303-3012
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Country | US
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Telephone | 404-524-8888
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Fax | 404-524-9999
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Provider Business Mailing Address
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Address Line | 2441 LOCKERLY PASS
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City | DULUTH
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State | GA
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Zip | 30097-4340
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Country | US
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Telephone | 770-630-4037
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Fax | 404-524-9999
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROGER NAIK
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Credential |
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Telephone | 770-630-4037
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHRE008193
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License Number State | GA
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