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General NPI Number Information
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NPI Number | 1407951601
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Entity Type | Organization
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Legal Business Name | WELLS DISCOUNT DRUGS INC
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 07/01/2015
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Provider Practice Location Address
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Address Line | 725 SAMILL RD
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City | LAUREL
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State | MS
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Zip | 39440-3971
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Country | US
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Telephone | 601-426-2362
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Fax | 601-426-2363
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Provider Business Mailing Address
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Address Line | 725 SAWMILL RD
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City | LAUREL
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State | MS
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Zip | 39440-3971
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Country | US
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Telephone | 601-426-2362
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Fax | 601-426-2363
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Authorized Official
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Title or Position | PRESIDENT PHARMACIST
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Name | MR. WILLIAM H WELLS
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Credential | RPH
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Telephone | 601-426-2362
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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 | 01741 01 1
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License Number State | MS
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