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General NPI Number Information
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NPI Number | 1790790673
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Entity Type | Organization
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Legal Business Name | KIRBY'S FAMILY PHARMACY, INC.
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Dates
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Enumeration Date | 07/29/2006
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Last Update Date | 08/08/2012
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Provider Practice Location Address
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Address Line | 1305 WINDSOR PL
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City | ALEXANDRIA
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State | LA
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Zip | 71303-2751
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Country | US
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Telephone | 318-445-2575
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Fax | 318-484-9457
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Provider Business Mailing Address
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Address Line | 1305 WINDSOR PL
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City | ALEXANDRIA
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State | LA
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Zip | 71303-2751
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Country | US
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Telephone | 318-445-2575
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Fax | 318-484-9457
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Authorized Official
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Title or Position | PRESIDENT PHARMACIST
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Name | MR. KIRBY GEORGE DESORMEAUX
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Credential | PHARMACIST
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Telephone | 318-445-2575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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