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General NPI Number Information
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NPI Number | 1669015210
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Entity Type | Organization
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Legal Business Name | HOMETOWN FAMILY PHARMACY, INC.
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Dates
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Enumeration Date | 10/25/2019
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Last Update Date | 10/25/2019
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Provider Practice Location Address
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Address Line | 930 HALL ST STE H
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City | WIGGINS
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State | MS
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Zip | 39577-2113
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Country | US
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Telephone | 601-476-5777
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Fax |
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Provider Business Mailing Address
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Address Line | 1119 COLLEGE AVE E
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City | WIGGINS
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State | MS
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Zip | 39577-3511
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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 | PRESIDENT
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Name | BRETT THAMES
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Credential | PHARM D
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Telephone | 601-528-1224
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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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