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General NPI Number Information
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NPI Number | 1619055761
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Entity Type | Organization
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Legal Business Name | MED CARE, INC
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 421 W MAIN ST
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City | TRUMANN
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State | AR
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Zip | 72472-3116
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Country | US
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Telephone | 870-483-6391
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Fax | 870-483-2710
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Provider Business Mailing Address
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Address Line | 421 W MAIN ST
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City | TRUMANN
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State | AR
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Zip | 72472-3116
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Country | US
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Telephone | 870-483-6391
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Fax | 870-483-2710
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Authorized Official
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Title or Position | PRESIDENT/PHARMACIST
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Name | DR. PHIL G SMITH
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Credential | PD
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Telephone | 870-483-6391
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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 | AR15693
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License Number State | AR
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