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General NPI Number Information
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NPI Number | 1427916501
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Entity Type | Organization
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Legal Business Name | DECATUR DRUGS INC
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Dates
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Enumeration Date | 01/15/2026
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 95 W BROAD ST
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City | DECATUR
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State | MS
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Zip | 39327-8959
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Country | US
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Telephone | 601-635-2646
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Fax | 855-820-5264
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Provider Business Mailing Address
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Address Line | PO BOX 98
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City | DECATUR
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State | MS
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Zip | 39327-0098
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Country | US
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Telephone | 601-635-2746
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Fax | 855-820-5264
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | CHARLES A BOGGAN
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Credential |
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Telephone | 601-635-2646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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