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General NPI Number Information
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NPI Number | 1699556167
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Entity Type | Organization
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Legal Business Name | SEARCY RX LLC
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Dates
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Enumeration Date | 10/11/2023
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Last Update Date | 10/11/2023
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Provider Practice Location Address
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Address Line | 2900 HAWKINS DR
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City | SEARCY
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State | AR
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Zip | 72143-4802
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Country | US
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Telephone | 501-268-3311
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 26690
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City | LITTLE ROCK
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State | AR
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Zip | 72221-6621
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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 | OWNER
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Name | DR. MADDISON SCHULLER
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Credential | PHARMD
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Telephone | 479-216-6028
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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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