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General NPI Number Information
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NPI Number | 1700703121
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Entity Type | Organization
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Legal Business Name | OUTREACH PHARMACY LLC
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Dates
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Enumeration Date | 07/06/2026
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Last Update Date | 07/06/2026
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Provider Practice Location Address
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Address Line | 470 PLEASANT HILL RD UNIT A
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City | MARIETTA
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State | GA
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Zip | 30068
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Country | US
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Telephone | 678-951-8231
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Fax |
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Provider Business Mailing Address
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Address Line | 2941 PHILLIPS CT
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City | MARIETTA
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State | GA
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Zip | 30068-3161
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Country | US
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Telephone | 682-551-2004
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Fax |
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Authorized Official
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Title or Position | ORGANIZER
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Name | CHRISTINA NGUYEN
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Credential |
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Telephone | 682-551-6702
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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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