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General NPI Number Information
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NPI Number | 1649304023
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Entity Type | Organization
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Legal Business Name | SAV RITE DISCOUNT DRUGS INC
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 06/11/2015
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Provider Practice Location Address
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Address Line | 310 CHURCH ST
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City | PORT GIBSON
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State | MS
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Zip | 39150-2108
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Country | US
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Telephone | 601-437-5781
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Fax |
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Provider Business Mailing Address
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Address Line | 310 CHURCH ST
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City | PORT GIBSON
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State | MS
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Zip | 39150-2108
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Country | US
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Telephone | 601-437-5781
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JAMES R BULLOCK
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Credential |
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Telephone | 601-437-5781
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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 | 01134 01.1
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License Number State | MS
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