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General NPI Number Information
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NPI Number | 1669624250
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Entity Type | Organization
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Legal Business Name | DRYS PHARMACY LLC
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Dates
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Enumeration Date | 10/15/2008
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Last Update Date | 11/18/2020
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Provider Practice Location Address
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Address Line | 4344 CHURCH ST
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City | ZACHARY
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State | LA
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Zip | 70791-3102
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Country | US
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Telephone | 225-654-1175
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Fax | 225-654-0132
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Provider Business Mailing Address
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Address Line | 4344 CHURCH ST
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City | ZACHARY
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State | LA
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Zip | 70791-3102
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Country | US
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Telephone | 225-654-1175
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Fax | 225-654-0132
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Authorized Official
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Title or Position | OWNER
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Name | RAHUL PATEL
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Credential |
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Telephone | 225-654-1175
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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 | PHY.006050-IR
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License Number State | LA
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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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