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General NPI Number Information
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NPI Number | 1427524594
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Entity Type | Organization
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Legal Business Name | TOWN AND COUNTRY SUPER MARKET , INC
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Dates
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Enumeration Date | 10/16/2018
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Last Update Date | 06/24/2022
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Provider Practice Location Address
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Address Line | 604 E SOUTH ST STE A
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City | OZARK
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State | MO
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Zip | 65721-8912
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Country | US
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Telephone | 417-581-7777
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Fax | 417-581-3998
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Provider Business Mailing Address
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Address Line | 604-A E. SOUTH ST.
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City | OZARK
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State | MO
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Zip | 65721
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Country | US
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Telephone | 417-581-7777
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Fax | 417-581-3998
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Authorized Official
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Title or Position | CFO/CORP .SECRETARY
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Name | DRUSILLA ZOANN HOWARD
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Credential |
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Telephone | 573-729-2325
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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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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number |
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License Number State |
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