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1609986116 NPI number — PHOENIX REXALL DRUGS INC

NPI Number: 1609986116
Health Care Provider/Practitioner: PHOENIX REXALL DRUGS INC

Information about “1609986116” NPI (PHOENIX REXALL DRUGS INC) exists in 1609986116 in HTML format HTML  |  1609986116 in plain Text format TXT  |  1609986116 in PDF (Portable Document Format) PDF  |  1609986116 in an XML format XML  formats.

NPI Number : 1609986116 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1609986116",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "PHOENIX REXALL DRUGS INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 172",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LEESVILLE",
    "MailingAddressStateName": "LA",
    "MailingAddressPostalCode": "71496-0172",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "337-239-3421",
    "MailingAddressFaxNumber": "337-239-3422",
    "FirstLinePracticeLocationAddress": "101 N 3RD ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LEESVILLE",
    "PracticeLocationAddressStateName": "LA",
    "PracticeLocationAddressPostalCode": "71446-4013",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "337-239-3421",
    "PracticeLocationAddressFaxNumber": "337-392-6212",
    "EnumerationDate": "08/30/2006",
    "LastUpdateDate": "09/02/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "WANN",
    "AuthorizedOfficialFirstName": "CYNTHIA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "MANAGER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "CPT",
    "AuthorizedOfficialTelephoneNumber": "337-239-3421",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "332B00000X",
          "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "333600000X",
          "TaxonomyName": "Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336H0001X",
          "TaxonomyName": "Home Infusion Therapy Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336C0003X",
          "TaxonomyName": "Community/Retail Pharmacy",
          "LicenseNumber": "891IR",
          "LicenseNumberStateCode": "LA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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