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General NPI Number Information
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NPI Number | 1457148017
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Entity Type | Organization
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Legal Business Name | LOVE'S PHARMACY NO 2, INC
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Dates
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Enumeration Date | 04/24/2025
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 45000 E ALOHA DR STE B
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City | DIAMONDHEAD
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State | MS
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Zip | 39525-3373
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Country | US
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Telephone | 228-363-6100
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Fax | 228-363-6200
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Provider Business Mailing Address
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Address Line | 45000 E ALOHA DR STE B
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City | DIAMONDHEAD
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State | MS
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Zip | 39525-3373
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Country | US
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Telephone | 228-363-6100
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Fax | 228-363-6200
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | AMY CATHERINE LOVE BAGGETT
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Credential |
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Telephone | 228-363-6100
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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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