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General NPI Number Information
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NPI Number | 1770655433
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Entity Type | Organization
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Legal Business Name | KLEPZIG FAMILY PHARMACY INC
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2173 S LAMAR BLVD
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City | OXFORD
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State | MS
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Zip | 38655-5223
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Country | US
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Telephone | 662-234-3610
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Fax | 662-234-2532
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Provider Business Mailing Address
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Address Line | 2173 S LAMAR BLVD
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City | OXFORD
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State | MS
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Zip | 38655-5223
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Country | US
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Telephone | 662-234-3610
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Fax | 662-234-2532
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Authorized Official
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Title or Position | OWNER PHARMACIST
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Name | TERRY GLEN KLEPZIG
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Credential | RPH
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Telephone | 662-234-3610
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0566901.1
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License Number State | MS
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