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General NPI Number Information
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NPI Number | 1710069489
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Entity Type | Organization
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Legal Business Name | HAMILTON WEST FAMILY PHARMACY
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 08/25/2010
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Provider Practice Location Address
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Address Line | 1629 AIRPORT RD SUITE D
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City | HOT SPRINGS
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State | AR
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Zip | 71913-7951
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Country | US
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Telephone | 501-767-5333
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Fax | 501-760-7845
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Provider Business Mailing Address
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Address Line | 1629 AIRPORT RD SUITE D
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City | HOT SPRINGS
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State | AR
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Zip | 71913-7951
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Country | US
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Telephone | 501-767-5333
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Fax | 501-760-7845
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | MRS. CINDY J. WACASTER
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Credential | P.D.
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Telephone | 501-767-5333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | AR18372
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License Number State | AR
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