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General NPI Number Information
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NPI Number | 1720268378
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Entity Type | Organization
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Legal Business Name | MCGEHEE DRUG COMPANY LLC
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Dates
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Enumeration Date | 11/13/2007
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Last Update Date | 08/30/2022
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Provider Practice Location Address
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Address Line | 1007 HIGHWAY 65 S
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City | MC GEHEE
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State | AR
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Zip | 71654-9417
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Country | US
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Telephone | 870-222-6676
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Fax | 870-222-6679
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Provider Business Mailing Address
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Address Line | 1007 HIGHWAY 65 S
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City | MC GEHEE
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State | AR
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Zip | 71654-9417
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Country | US
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Telephone | 870-222-6676
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Fax | 870-222-6679
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Authorized Official
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Title or Position | OWNER
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Name | NIKKI T HOOD
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Credential | PHARMD
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Telephone | 870-222-6676
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | AR17635
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | AR17635
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License Number State | AR
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