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General NPI Number Information
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NPI Number | 1558689299
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Entity Type | Organization
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Legal Business Name | GREEN EARTH PHARMACY INC
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Dates
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Enumeration Date | 05/05/2010
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Last Update Date | 10/21/2011
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Provider Practice Location Address
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Address Line | 405 E 3RD ST
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City | LITTLE ROCK
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State | AR
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Zip | 72201-1611
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Country | US
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Telephone | 501-246-3296
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Fax | 501-246-3339
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Provider Business Mailing Address
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Address Line | PO BOX 2361
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City | LITTLE ROCK
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State | AR
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Zip | 72203-2361
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Country | US
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Telephone | 501-613-3856
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | LINDA BORTELL
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Credential |
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Telephone | 501-613-3856
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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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 | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | AR20628
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License Number State | AR
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