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General NPI Number Information
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NPI Number | 1588757132
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Entity Type | Organization
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Legal Business Name | RINGGOLD PRESCRIPTION SHOP
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 20 LEGION ST
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City | RINGGOLD
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State | GA
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Zip | 30736
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Country | US
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Telephone | 706-937-9901
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Fax | 706-937-9903
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Provider Business Mailing Address
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Address Line | PO BOX 1127
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City | RINGGOLD
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State | GA
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Zip | 30736
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Country | US
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Telephone | 706-937-9901
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Fax | 706-937-9903
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Authorized Official
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Title or Position | OWNER
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Name | CHUCK GASS
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Credential |
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Telephone | 706-937-9901
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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 | PHRE008450
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License Number State | GA
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