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General NPI Number Information
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NPI Number | 1811073141
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Entity Type | Organization
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Legal Business Name | MAYS-DUNAVANT DRUGS INC
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Dates
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Enumeration Date | 10/30/2006
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Last Update Date | 05/13/2011
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Provider Practice Location Address
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Address Line | 111 N MAIN ST
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City | RIPLEY
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State | TN
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Zip | 38063-1307
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Country | US
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Telephone | 731-635-9191
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Fax | 731-636-9192
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Provider Business Mailing Address
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Address Line | PO BOX 67
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City | RIPLEY
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State | TN
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Zip | 38063-0067
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Country | US
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Telephone | 731-635-9191
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Fax | 731-636-9192
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Authorized Official
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Title or Position | PHARMACIST CORPORATION PRESIDENT
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Name | DR. THOMAS SCOTT DUNAVANT JR.
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Credential | PD
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Telephone | 731-635-9191
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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 | 0000000484
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License Number State | TN
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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 | 0000001088
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License Number State | TN
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