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General NPI Number Information
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NPI Number | 1497173983
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Entity Type | Organization
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Legal Business Name | PRIORITY CARE PHARMACY, LLC
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Dates
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Enumeration Date | 04/01/2014
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Last Update Date | 12/11/2014
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Provider Practice Location Address
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Address Line | 1600 HIGHLAND DR
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City | AMORY
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State | MS
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Zip | 38821-1003
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Country | US
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Telephone | 662-257-6740
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Fax | 662-257-2281
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Provider Business Mailing Address
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Address Line | 1600 HIGHLAND DR
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City | AMORY
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State | MS
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Zip | 38821-1003
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Country | US
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Telephone | 662-257-6740
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Fax | 662-257-2281
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Authorized Official
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Title or Position | PHARMACIST / DIRECTOR OF PHARMACY
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Name | MR. SAMMY PHILLIP CARSON
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Credential | R.PH. , DPH
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Telephone | 662-315-5377
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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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