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General NPI Number Information
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NPI Number | 1588362545
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Entity Type | Organization
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Legal Business Name | CYF PHARMACY, LLC
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Dates
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Enumeration Date | 02/20/2023
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Last Update Date | 02/20/2023
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Provider Practice Location Address
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Address Line | 1521 MERRILL DR STE D240
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City | LITTLE ROCK
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State | AR
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Zip | 72211-1821
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Country | US
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Telephone | 501-660-6897
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Fax | 501-954-7794
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Provider Business Mailing Address
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Address Line | 1521 MERRILL DR STE D240
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City | LITTLE ROCK
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State | AR
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Zip | 72211-1821
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Country | US
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Telephone | 501-660-6897
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Fax | 501-954-7794
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | DAWOOD RASSAM
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Credential |
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Telephone | 619-569-0120
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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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