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General NPI Number Information
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NPI Number | 1740649995
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Entity Type | Organization
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Legal Business Name | LADNER DRUGS INC
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Dates
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Enumeration Date | 02/16/2016
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Last Update Date | 07/28/2020
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Provider Practice Location Address
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Address Line | 12435 SHRINERS BLVD
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City | BILOXI
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State | MS
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Zip | 39532-8249
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Country | US
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Telephone | 228-354-9616
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Fax | 228-354-9613
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Provider Business Mailing Address
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Address Line | 12435 SHRINERS BLVD
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City | BILOXI
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State | MS
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Zip | 39532-8249
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Country | US
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Telephone | 228-354-9616
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Fax | 228-354-9613
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Authorized Official
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Title or Position | OWNER
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Name | MR. NICHOLAS LADNER
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Credential |
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Telephone | 228-354-9616
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding 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 | 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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