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General NPI Number Information
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NPI Number | 1538839295
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Entity Type | Individual
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Provider Name | RYNE GOLDEN PHARMD
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Gender | Male
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Dates
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Enumeration Date | 09/15/2021
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 5169 BRUNSWICK RD
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City | BRUNSWICK
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State | TN
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Zip | 38014
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Country | US
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Telephone | 877-388-0507
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Fax | 901-388-0407
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Provider Business Mailing Address
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Address Line | 465 STATELINE RD W
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City | SOUTHAVEN
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State | MS
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Zip | 38671-1611
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | 45621
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | E-100399
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License Number State | MS
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