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General NPI Number Information
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NPI Number | 1730276932
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Entity Type | Organization
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Legal Business Name | DEANS PHARMACY
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Dates
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Enumeration Date | 10/07/2006
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Last Update Date | 07/20/2007
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Provider Practice Location Address
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Address Line | 2217 PERRYTON PKWY
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City | PAMPA
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State | TX
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Zip | 79065-3522
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Country | US
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Telephone | 806-669-6896
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Fax | 806-665-6021
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Provider Business Mailing Address
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Address Line | PO BOX 1516
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City | PAMPA
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State | TX
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Zip | 79066-1516
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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 | JIM PEPPER
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Credential | RPH
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Telephone | 806-669-9710
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care 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 | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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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 #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 15744
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License Number State | TX
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