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General NPI Number Information
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NPI Number | 1710803424
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Entity Type | Organization
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Legal Business Name | MARTIN SWOOPE ENTERPRISES
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Dates
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Enumeration Date | 06/26/2026
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Last Update Date | 07/23/2026
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Provider Practice Location Address
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Address Line | 40518 OLD HIGHWAY 45 S
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City | HAMILTON
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State | MS
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Zip | 39746-9799
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Country | US
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Telephone | 662-362-7070
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Fax | 662-362-7249
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Provider Business Mailing Address
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Address Line | 40518 OLD HIGHWAY 45 S
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City | HAMILTON
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State | MS
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Zip | 39746-9799
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Country | US
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Telephone | 662-362-7070
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Fax | 662-362-7249
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE/OWNER
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Name | HOLLY REEVES
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Credential | R.PH.
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Telephone | 662-319-7946
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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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