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General NPI Number Information
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NPI Number | 1568287969
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Entity Type | Organization
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Legal Business Name | HAWKINS RX, LLC
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Dates
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Enumeration Date | 11/20/2024
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 902 CENTRAL BLVD
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City | BULL SHOALS
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State | AR
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Zip | 72619-3223
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Country | US
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Telephone | 870-445-7188
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Fax | 870-445-4850
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Provider Business Mailing Address
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Address Line | PO BOX 190
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City | BULL SHOALS
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State | AR
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Zip | 72619-0190
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Country | US
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Telephone | 870-445-7188
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Fax | 870-445-4850
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Authorized Official
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Title or Position | OWNER
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Name | LAYNE J HAWKINS
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Credential |
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Telephone | 870-445-7188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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