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General NPI Number Information
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NPI Number | 1477104297
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Entity Type | Organization
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Legal Business Name | WINONA DRUGS
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Dates
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Enumeration Date | 09/23/2019
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Last Update Date | 11/13/2019
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Provider Practice Location Address
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Address Line | 500 N APPLEGATE ST STE A
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City | WINONA
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State | MS
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Zip | 38967-1829
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Country | US
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Telephone | 662-535-0800
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Fax | 662-535-0801
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Provider Business Mailing Address
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Address Line | 119 E WILSON AVE
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City | GREENWOOD
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State | MS
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Zip | 38930-2308
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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 | MEMBER/OWNER
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Name | HUNTER SMITH
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Credential |
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Telephone | 662-299-9417
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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