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General NPI Number Information
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NPI Number | 1548255748
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Entity Type | Organization
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Legal Business Name | GUNN DRUG CO INC.
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Dates
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Enumeration Date | 09/13/2005
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Last Update Date | 07/28/2022
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Provider Practice Location Address
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Address Line | 1815 E SHILOH RD
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City | CORINTH
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State | MS
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Zip | 38834-3638
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Country | US
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Telephone | 662-287-8062
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Fax | 662-287-6429
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Provider Business Mailing Address
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Address Line | 1815 E SHILOH RD
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City | CORINTH
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State | MS
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Zip | 38834-3638
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Country | US
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Telephone | 662-287-8062
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Fax | 662-287-6429
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Authorized Official
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Title or Position | VP / PIC
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Name | CHRIS ELLIOTT
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Credential |
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Telephone | 662-287-8062
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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 | 002075059
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License Number State | MS
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Taxonomy #2
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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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