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General NPI Number Information
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NPI Number | 1528165248
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Entity Type | Organization
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Legal Business Name | SOUTHERN DRUGS, INC
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Dates
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Enumeration Date | 09/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3654 NEW HOPE RD
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City | COLUMBUS
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State | MS
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Zip | 39702-8521
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Country | US
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Telephone | 662-328-8028
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Fax | 662-328-3149
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Provider Business Mailing Address
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Address Line | 3654 NEW HOPE RD
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City | COLUMBUS
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State | MS
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Zip | 39702-8521
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Country | US
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Telephone | 662-328-8028
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Fax | 662-328-3149
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Authorized Official
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Title or Position | VICE PRESIDENT/PHARMACIST
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Name | MRS. AMY C WEATHERS
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Credential | R.PH.
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Telephone | 662-328-8028
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | E-08239
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License Number State | MS
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