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General NPI Number Information
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NPI Number | 1811902091
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Entity Type | Organization
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Legal Business Name | DEANS PHARMACIES, INC.
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Dates
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Enumeration Date | 07/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1640 S WHITEHEAD DR
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City | DEWITT
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State | AR
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Zip | 72042-2994
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Country | US
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Telephone | 870-946-2381
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Fax |
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Provider Business Mailing Address
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Address Line | 1640 S WHITEHEAD DR
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City | DEWITT
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State | AR
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Zip | 72042-2994
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Country | US
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Telephone | 870-946-2381
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/PHARMACIST
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Name | HOWARD DEAN WATTS
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Credential | P.D.
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Telephone | 870-946-2381
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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 | AR17661
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License Number State | AR
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