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General NPI Number Information
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NPI Number | 1598933053
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Entity Type | Organization
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Legal Business Name | ACKAL'S COMMUNITY PHARMACY,INC
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Dates
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Enumeration Date | 02/18/2008
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Last Update Date | 05/31/2008
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Provider Practice Location Address
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Address Line | 814 FORTUNE RD STE 109
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City | YOUNGSVILLE
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State | LA
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Zip | 70592-5542
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Country | US
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Telephone | 337-857-5082
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Fax | 337-857-6197
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Provider Business Mailing Address
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Address Line | 814 FORTUNE RD STE 109
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City | YOUNGSVILLE
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State | LA
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Zip | 70592-5542
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Country | US
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Telephone | 337-857-5082
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Fax | 337-857-6197
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE/OWNER
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Name | MRS. CHRISTINE ADELE ACKAL
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Credential | RPH
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Telephone | 337-857-5082
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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 | 5948
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License Number State | LA
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