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General NPI Number Information
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NPI Number | 1477908135
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Entity Type | Organization
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Legal Business Name | D & D PHARMACY LLC
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Dates
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Enumeration Date | 05/02/2016
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Last Update Date | 05/02/2016
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Provider Practice Location Address
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Address Line | 8908 KANIS RD SUITE 350
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City | LITTLE ROCK
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State | AR
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Zip | 72205-6414
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Country | US
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Telephone | 501-801-8072
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 55210
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City | LITTLE ROCK
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State | AR
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Zip | 72215-5210
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Country | US
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Telephone | 501-801-8072
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Fax |
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Authorized Official
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Title or Position | CONSULTANT
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Name | DR. ASHLE D REID
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Credential | PHARM.D.
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Telephone | 501-952-7888
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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 | AR20839
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License Number State | AR
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