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General NPI Number Information
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NPI Number | 1508470964
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Entity Type | Organization
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Legal Business Name | SWAIN DRUG COMPANY LLC
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Dates
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Enumeration Date | 09/03/2020
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Last Update Date | 05/10/2021
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Provider Practice Location Address
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Address Line | 855 BOWENS MILL RD SW SUITE E
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City | DOUGLAS
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State | GA
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Zip | 31533
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Country | US
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Telephone | 912-260-1064
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Fax | 912-600-1975
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Provider Business Mailing Address
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Address Line | 855 BOWENS MILL RD SW STE E
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City | DOUGLAS
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State | GA
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Zip | 31533-3925
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Country | US
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Telephone | 912-260-1064
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Fax | 912-600-1975
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | DR. JARED WILLIAM SWAIN
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Credential | PHARMD
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Telephone | 912-260-1064
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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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