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General NPI Number Information
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NPI Number | 1548527757
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Entity Type | Organization
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Legal Business Name | MEDRELIEF PHARMACY LLC
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Dates
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Enumeration Date | 04/12/2012
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Last Update Date | 06/15/2012
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Provider Practice Location Address
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Address Line | 2895 STATE HIGHWAY 77 S STE 3
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City | MARION
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State | AR
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Zip | 72364-2371
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Country | US
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Telephone | 870-739-1700
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Fax | 870-739-1702
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Provider Business Mailing Address
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Address Line | PO BOX 2485
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City | WEST MEMPHIS
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State | AR
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Zip | 72303-2485
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Country | US
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Telephone | 870-739-1700
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Fax | 870-739-1702
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Authorized Official
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Title or Position | MANAGER
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Name | PETE BATTAGLIA
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Credential |
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Telephone | 870-739-1700
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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 | AR20672
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License Number State | AR
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