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NPI 1417900291

NPI 1417900291 : ROCKY L MCGARITY INC : LUCEDALE, MS

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General NPI Number Information
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    NPI Number           |    1417900291
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    Entity Type          |    Organization 
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    Legal Business Name  |    ROCKY L MCGARITY INC 
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Dates
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    Enumeration Date     |    05/19/2006
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    Last Update Date     |    05/12/2023
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Provider Practice Location Address
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    Address Line         |    103 W FRONTAGE RD SUITE A
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    City                 |    LUCEDALE
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    State                |    MS
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    Zip                  |    39452-5836
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    Country              |    US
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    Telephone            |    601-947-4941
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    Fax                  |    601-766-3010
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Provider Business Mailing Address
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    Address Line         |    103 W FRONTAGE RD SUITE A
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    City                 |    LUCEDALE
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    State                |    MS
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    Zip                  |    39452-5836
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    Country              |    US
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    Telephone            |    601-947-4941
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    Fax                  |    601-766-3010
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     ROCKY  MCGARITY 
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    Credential           |    RPH
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    Telephone            |    601-947-4941
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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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        |    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 #3
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    Taxonomy Code        |    3336C0004X
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    Taxonomy Name        |    Compounding Pharmacy
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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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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Taxonomy #5
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    Taxonomy Code        |    3336C0003X
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    Taxonomy Name        |    Community/Retail Pharmacy
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    License Number       |    01104/1.1
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    License Number State |    MS
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