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General NPI Number Information
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NPI Number | 1831230796
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Entity Type | Organization
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Legal Business Name | PHARM R X INC
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 01/13/2017
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Provider Practice Location Address
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Address Line | 926 MONTREAL RD STE B STE 2
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City | CLARKSTON
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State | GA
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Zip | 30021-1368
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Country | US
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Telephone | 404-299-8255
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Fax | 404-299-8219
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Provider Business Mailing Address
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Address Line | 1630 POWERS RIDGE PL
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City | SANDY SPRINGS
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State | GA
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Zip | 30327-4298
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Country | US
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Telephone | 404-455-1938
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Fax |
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Authorized Official
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Title or Position | PIC
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Name | SOL DAYA
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Credential | RPH
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Telephone | 404-299-8255
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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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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHRE008385
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License Number State | GA
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