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General NPI Number Information
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NPI Number | 1467722868
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Entity Type | Organization
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Legal Business Name | P AND C PHARMACY INC
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Dates
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Enumeration Date | 01/03/2012
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Last Update Date | 09/22/2016
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Provider Practice Location Address
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Address Line | 9035 E SANDIDGE RD STE 101
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City | OLIVE BRANCH
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State | MS
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Zip | 38654-3563
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Country | US
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Telephone | 662-892-8215
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Fax | 662-892-8379
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Provider Business Mailing Address
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Address Line | 7480 DAVIDSON RD
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City | OLIVE BRANCH
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State | MS
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Zip | 38654-8506
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Country | US
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Telephone | 662-892-8215
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Fax | 662-892-8379
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Authorized Official
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Title or Position | OWNER
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Name | PATRICK PARISH
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Credential |
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Telephone | 662-892-8215
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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 | 10022
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License Number State | MS
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