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General NPI Number Information
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NPI Number | 1669572095
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Entity Type | Organization
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Legal Business Name | MAXI DRUG SOUTH LP
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 10 COVENTRY SHOPPERS PARK
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City | COVENTRY
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State | RI
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Zip | 02816-5702
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Country | US
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Telephone | 401-828-3230
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Fax | 401-821-7150
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Provider Business Mailing Address
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Address Line | 50 SERVICE AVE
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City | WARWICK
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State | RI
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Zip | 02886-1021
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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 | LICENSING SUPERVISOR
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Name | JOYCE FRANCO
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Credential |
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Telephone | 401-468-2840
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PHA00307
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License Number State | RI
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Taxonomy #2
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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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