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General NPI Number Information
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NPI Number | 1508303041
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Entity Type | Organization
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Legal Business Name | K & E DRUGS
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Dates
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Enumeration Date | 01/23/2017
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Last Update Date | 01/23/2017
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Provider Practice Location Address
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Address Line | 718 MAIN ST
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City | COLUMBIA
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State | MS
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Zip | 39429-2938
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Country | US
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Telephone | 601-736-3481
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Fax | 601-736-3482
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Provider Business Mailing Address
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Address Line | 718 MAIN ST
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City | COLUMBIA
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State | MS
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Zip | 39429-2938
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Country | US
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Telephone | 601-736-3481
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Fax | 601-736-3482
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Authorized Official
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Title or Position | PHARMACIST/OWNER
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Name | DR. KAYLA JORDAN
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Credential | PHARM.D.
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Telephone | 601-736-3481
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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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