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General NPI Number Information
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NPI Number | 1568784031
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Entity Type | Organization
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Legal Business Name | MEDRX INC
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Dates
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Enumeration Date | 02/24/2010
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 1847 LINE AVE
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City | SHREVEPORT
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State | LA
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Zip | 71101-4611
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Country | US
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Telephone | 318-212-0614
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Fax | 318-212-0616
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Provider Business Mailing Address
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Address Line | 406 N ARKANSAS ST
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City | SPRINGHILL
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State | LA
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Zip | 71075-2602
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Country | US
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Telephone | 318-212-0614
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Fax | 318-212-0616
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | JAMES DANIEL DUCK
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Credential |
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Telephone | 318-218-8564
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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 |
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License Number State |
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