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General NPI Number Information
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NPI Number | 1457772238
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Entity Type | Organization
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Legal Business Name | APOTHECARY ARTS, L.L.C.
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Dates
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Enumeration Date | 12/23/2013
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Last Update Date | 12/23/2013
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Provider Practice Location Address
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Address Line | 214 EXPO CIR STE 2
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City | WEST MONROE
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State | LA
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Zip | 71292-9497
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Country | US
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Telephone | 318-509-8797
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Fax | 318-654-7916
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Provider Business Mailing Address
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Address Line | 214 EXPO CIR SUITE 2
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City | WEST MONROE
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State | LA
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Zip | 71292-9496
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Country | US
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Telephone | 318-509-8797
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Fax | 318-654-7916
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Authorized Official
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Title or Position | OWNER
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Name | JOSEPH WILEY
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Credential |
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Telephone | 318-396-1812
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 6798
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License Number State | LA
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