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General NPI Number Information
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NPI Number | 1467524249
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Entity Type | Organization
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Legal Business Name | PEOPLES HEALTH MART INC
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 10/13/2009
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Provider Practice Location Address
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Address Line | 401 N 2ND ST
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City | ASHDOWN
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State | AR
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Zip | 71822-2705
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Country | US
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Telephone | 870-898-2400
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Fax | 870-898-2000
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Provider Business Mailing Address
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Address Line | PO BOX 518
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City | ASHDOWN
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State | AR
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Zip | 71822-0518
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CINDY MILLS
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Credential |
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Telephone | 870-898-2400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | AR16138
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License Number State | AR
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