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General NPI Number Information
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NPI Number | 1740375559
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Entity Type | Organization
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Legal Business Name | KING'S DISCOUNT DRUGS INC
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1417 ASTON AVE
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City | MCCOMB
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State | MS
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Zip | 39648-2827
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Country | US
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Telephone | 601-684-4343
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Fax | 601-684-5075
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Provider Business Mailing Address
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Address Line | 1417 ASTON AVE
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City | MCCOMB
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State | MS
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Zip | 39648-2827
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Country | US
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Telephone | 601-684-4343
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Fax | 601-684-5075
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | MRS. CHERIE BROWN
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Credential |
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Telephone | 601-684-4343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 01118011
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License Number State | MS
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