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General NPI Number Information
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NPI Number | 1659069656
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Entity Type | Organization
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Legal Business Name | RIVER ROAD PHARMACY
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Dates
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Enumeration Date | 04/27/2023
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Last Update Date | 04/27/2023
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Provider Practice Location Address
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Address Line | 1741 HWY 61 SOUTH
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City | OSCEOLA
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State | AR
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Zip | 72370
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Country | US
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Telephone | 870-563-0777
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Fax | 870-563-0327
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Provider Business Mailing Address
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Address Line | 1741 HWY 61 SOUTH
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City | OSCEOLA
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State | AR
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Zip | 72370
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Country | US
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Telephone | 870-563-0777
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Fax | 870-563-0327
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Authorized Official
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Title or Position | PHARMACIST
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Name | STEPHANIE RAPERT
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Credential | PHARMD
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Telephone | 870-838-5750
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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 |
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License Number State |
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