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General NPI Number Information
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NPI Number | 1780681932
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Entity Type | Organization
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Legal Business Name | FUTRELL PHARMACY INC
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Dates
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Enumeration Date | 07/01/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 115 E BROADWAY ST
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City | POCAHONTAS
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State | AR
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Zip | 72455-3402
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Country | US
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Telephone | 870-892-5616
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Fax | 870-892-2592
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Provider Business Mailing Address
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Address Line | 115 E BROADWAY ST
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City | POCAHONTAS
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State | AR
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Zip | 72455-3402
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Country | US
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Telephone | 870-892-5616
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Fax | 870-892-2592
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | DR. JEFFREY MARK FUTRELL
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Credential | P.D.
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Telephone | 870-892-5615
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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 | 110305716
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | 122010733
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | AR05743
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License Number State | AR
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