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General NPI Number Information
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NPI Number | 1528333689
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Entity Type | Organization
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Legal Business Name | MARION DISCOUNT DRUGS
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Dates
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Enumeration Date | 03/21/2012
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Last Update Date | 02/17/2015
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Provider Practice Location Address
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Address Line | 5332 DALE DRIVE
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City | MARION
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State | MS
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Zip | 39342
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Country | US
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Telephone | 601-485-2700
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Fax | 601-485-2822
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Provider Business Mailing Address
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Address Line | 5332 DALE DRIVE
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City | MARION
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State | MS
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Zip | 39342
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Country | US
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Telephone | 601-485-2700
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Fax | 601-485-2822
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Authorized Official
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Title or Position | PHARMACIST-IN-CHARGE
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Name | MARCY TINGLE
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Credential | RPH
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Telephone | 601-485-2700
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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 | 10563/1.1
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | E-08658
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License Number State | MS
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