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General NPI Number Information
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NPI Number | 1669023586
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Entity Type | Organization
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Legal Business Name | LEXINGTON DISCOUNT PHARMACY
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Dates
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Enumeration Date | 09/23/2019
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Last Update Date | 09/23/2019
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Provider Practice Location Address
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Address Line | 22743 HIGHWAY 12
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City | LEXINGTON
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State | MS
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Zip | 39095-3118
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Country | US
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Telephone | 601-834-2524
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Fax |
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Provider Business Mailing Address
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Address Line | 22743 HIGHWAY 12
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City | LEXINGTON
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State | MS
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Zip | 39095-3118
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Country | US
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Telephone | 601-834-2524
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Fax |
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Authorized Official
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Title or Position | PHARMACIST-IN-CHARGE
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Name | ANTHONY MCCARTY JR.
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Credential | PHARM.D
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Telephone | 601-383-2524
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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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