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General NPI Number Information
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NPI Number | 1669712428
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Entity Type | Organization
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Legal Business Name | EAGLE RX
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Dates
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Enumeration Date | 02/15/2013
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 2412 E. RACE AVE. SUITE F
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City | SEARCY
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State | AR
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Zip | 72143
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Country | US
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Telephone | 501-268-9400
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Fax | 501-268-9405
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Provider Business Mailing Address
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Address Line | 2412 E RACE AVE STE F
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City | SEARCY
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State | AR
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Zip | 72143-4780
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Country | US
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Telephone | 501-268-9400
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Fax | 501-268-9405
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | SETH JOHNSTON
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Credential |
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Telephone | 501-268-9400
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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 | AR20707
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License Number State | AR
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