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General NPI Number Information
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NPI Number | 1780051219
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Entity Type | Organization
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Legal Business Name | MEDI-QUIK DISCOUNT PHARMACY #3,INC
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Dates
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Enumeration Date | 09/01/2015
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Last Update Date | 09/01/2015
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Provider Practice Location Address
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Address Line | 406 E WALNUT ST
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City | PARIS
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State | AR
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Zip | 72855-3920
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Country | US
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Telephone | 479-963-1555
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Fax | 479-963-1560
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Provider Business Mailing Address
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Address Line | 406 E WALNUT ST
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City | PARIS
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State | AR
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Zip | 72855-3920
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Country | US
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Telephone | 479-963-1555
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Fax | 479-963-1560
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | MRS. ELIZABETH MARIE WOOLSEY
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Credential | PHARMD
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Telephone | 479-963-1555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PD08365
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License Number State | AR
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