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General NPI Number Information
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NPI Number | 1669481875
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Entity Type | Organization
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Legal Business Name | BARNETT APOTHECARY, LLC
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 04/06/2011
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Provider Practice Location Address
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Address Line | 606 BATTLEGROUND DR
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City | IUKA
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State | MS
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Zip | 38852
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Country | US
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Telephone | 662-423-9994
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Fax | 662-423-9987
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Provider Business Mailing Address
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Address Line | PO BOX 60
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City | IUKA
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State | MS
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Zip | 38852
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Country | US
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Telephone | 662-423-9994
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Fax | 662-423-9987
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Authorized Official
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Title or Position | OWNER PHARMACIST
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Name | MR. JOHN STEPHEN BARNETT
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Credential | RPH
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Telephone | 662-423-9994
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 05564011
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License Number State | MS
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