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General NPI Number Information
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NPI Number | 1588939409
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Entity Type | Organization
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Legal Business Name | MEDPOINT PHARMACY BENEFIT MANAGERS, LLC
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Dates
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Enumeration Date | 03/09/2012
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Last Update Date | 03/09/2012
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Provider Practice Location Address
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Address Line | 211 10TH AVE N
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City | AMORY
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State | MS
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Zip | 38821-1827
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Country | US
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Telephone | 866-563-3764
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Fax | 866-503-1278
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Provider Business Mailing Address
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Address Line | 211 10TH AVE N
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City | AMORY
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State | MS
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Zip | 38821-1827
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Country | US
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Telephone | 866-563-3764
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Fax | 866-503-1278
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Authorized Official
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Title or Position | PHARMACIST / MANAGER
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Name | DR. S. PHILLIP CARSON
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Credential | R.PH. , PHARM D.
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Telephone | 866-563-3764
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 138196
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | E-7450
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License Number State | MS
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