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General NPI Number Information
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NPI Number | 1407343023
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Entity Type | Organization
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Legal Business Name | DOWELLS PHARMACY
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Dates
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Enumeration Date | 04/19/2018
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Last Update Date | 03/22/2022
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Provider Practice Location Address
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Address Line | 124 E BAKER ST
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City | INDIANOLA
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State | MS
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Zip | 38751-2451
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Country | US
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Telephone | 662-931-1900
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Fax |
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Provider Business Mailing Address
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Address Line | 124 E BAKER ST
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City | INDIANOLA
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State | MS
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Zip | 38751-2451
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Country | US
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Telephone | 662-887-4533
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Fax | 662-887-4572
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Authorized Official
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Title or Position | MANAGER
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Name | MATTHEW GEORGE DOWELL
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Credential | PHARMD
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Telephone | 662-887-4533
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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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