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General NPI Number Information
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NPI Number | 1629192661
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Entity Type | Organization
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Legal Business Name | MIDTOWN DRUGS
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 07/22/2008
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Provider Practice Location Address
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Address Line | 800 NORTH LAMAR MIDTOWN DRUGS
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City | OXFORD
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State | MS
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Zip | 38655
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Country | US
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Telephone | 662-234-4419
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Fax |
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Provider Business Mailing Address
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Address Line | 800 NORTH LAMAR MIDTOWN DRUGS
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City | OXFORD
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State | MS
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Zip | 38655
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Country | US
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Telephone | 662-234-4419
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Fax |
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Authorized Official
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Title or Position | PHARMACIST & OWNER
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Name | MR. STEPHEN ALEXANDER ROGERS
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Credential | PHARMACIST & OWNER
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Telephone | 662-234-4419
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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 | 01126
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License Number State | MS
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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 | E06127
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License Number State | MS
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