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General NPI Number Information
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NPI Number | 1417426354
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Entity Type | Organization
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Legal Business Name | CHURCH POINT DRUG INC
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Dates
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Enumeration Date | 11/21/2018
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Last Update Date | 01/17/2022
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Provider Practice Location Address
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Address Line | 615 E. MILLER AVE
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City | IOWA
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State | LA
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Zip | 70647
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Country | US
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Telephone | 337-422-4022
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Fax | 337-422-4144
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Provider Business Mailing Address
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Address Line | 300 N MAIN ST.
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City | CHURCH POINT
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State | LA
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Zip | 70525
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Country | US
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Telephone | 337-422-4022
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Fax | 337-684-5562
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Authorized Official
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Title or Position | OWNER
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Name | MRS. NICOLE DOUCET ALLEMAN
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Credential | RPH
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Telephone | 337-684-5475
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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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