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General NPI Number Information
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NPI Number | 1669923991
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Entity Type | Organization
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Legal Business Name | RX PROS, INC
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Dates
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Enumeration Date | 10/21/2016
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Last Update Date | 10/21/2016
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Provider Practice Location Address
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Address Line | 10374 HIGHWAY 165 N STE. C
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City | STERLINGTON
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State | LA
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Zip | 71280-3320
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Country | US
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Telephone | 318-812-2305
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Fax |
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Provider Business Mailing Address
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Address Line | 10374 HIGHWAY 165 N STE. C
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City | STERLINGTON
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State | LA
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Zip | 71280-3320
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Country | US
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Telephone | 318-812-2305
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANGELA NICOLE HOTARD
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Credential |
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Telephone | 318-812-2305
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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.007355 IR
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License Number State | LA
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