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General NPI Number Information
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NPI Number | 1770678922
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Entity Type | Organization
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Legal Business Name | M.C. CLINIC PHARMACY INC.
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 1234 DAVID DR
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City | MORGAN CITY
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State | LA
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Zip | 70380-1300
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Country | US
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Telephone | 985-384-7940
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Fax | 985-384-2841
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Provider Business Mailing Address
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Address Line | 1234 DAVID DR
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City | MORGAN CITY
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State | LA
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Zip | 70380-1300
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Country | US
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Telephone | 985-384-7940
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Fax | 985-384-2841
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Authorized Official
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Title or Position | P.I.C.
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Name | MR. EUGENE I DREHER IV
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Credential | R.PH.
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Telephone | 985-384-7940
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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 | 689 IR
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License Number State | LA
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Taxonomy #2
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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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