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General NPI Number Information
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NPI Number | 1811983406
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Entity Type | Organization
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Legal Business Name | CITY DRUG CO
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Dates
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Enumeration Date | 09/20/2005
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 1512 LINWOOD DR
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City | PARAGOULD
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State | AR
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Zip | 72450-5814
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Country | US
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Telephone | 870-236-8501
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Fax | 870-239-5324
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Provider Business Mailing Address
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Address Line | 1512 LINWOOD DR
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City | PARAGOULD
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State | AR
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Zip | 72450-5814
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Country | US
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Telephone | 870-236-8501
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Fax | 870-239-5324
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | MR. JIMMY CHARLES DODD JR.
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Credential |
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Telephone | 870-236-8501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | AR07014
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License Number State | AR
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