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NPI 1639138373

NPI 1639138373 : RINNS PHARMACY : BUENA VISTA, GA

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General NPI Number Information
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    NPI Number           |    1639138373
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    Entity Type          |    Organization 
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    Legal Business Name  |    RINNS PHARMACY 
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Dates
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    Enumeration Date     |    03/21/2006
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    Last Update Date     |    12/12/2011
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Provider Practice Location Address
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    Address Line         |    101 BROAD STREET 
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    City                 |    BUENA VISTA
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    State                |    GA
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    Zip                  |    31803-0411
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    Country              |    US
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    Telephone            |    229-649-2811
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    Fax                  |    229-649-6100
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Provider Business Mailing Address
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    Address Line         |    PO BOX 474 
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    City                 |    BUENA VISTA
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    State                |    GA
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    Zip                  |    31803-0474
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MANAGER
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    Name                 |     BECKY  POWELL 
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    Credential           |    
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    Telephone            |    229-649-2811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    333600000X
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    Taxonomy Name        |    Pharmacy
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    3336L0003X
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    Taxonomy Name        |    Long Term Care Pharmacy
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    License Number       |    PHRE003552
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    License Number State |    GA
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