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General NPI Number Information
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NPI Number | 1679057723
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Entity Type | Organization
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Legal Business Name | BELLEVIEW PHARMACY
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Dates
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Enumeration Date | 09/24/2018
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Last Update Date | 09/24/2018
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Provider Practice Location Address
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Address Line | 58045 BELLEVIEW RD
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City | PLAQUEMINE
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State | LA
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Zip | 70764-4059
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Country | US
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Telephone | 225-238-2227
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Fax | 225-238-2335
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Provider Business Mailing Address
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Address Line | 18567 DOC OLENA DR
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City | BATON ROUGE
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State | LA
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Zip | 70817-0706
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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 | PHARMACIST
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Name | MARCAS JETT
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Credential | PHARMD
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Telephone | 901-287-1326
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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 |
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License Number State |
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