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General NPI Number Information
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NPI Number | 1841291150
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Entity Type | Organization
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Legal Business Name | CITY PHARMACY
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Dates
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Enumeration Date | 08/09/2005
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Last Update Date | 05/26/2015
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Provider Practice Location Address
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Address Line | 1801 BROADWAY ST
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City | LITTLE ROCK
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State | AR
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Zip | 72206-1222
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Country | US
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Telephone | 501-374-6565
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Fax |
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Provider Business Mailing Address
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Address Line | 1801 BROADWAY ST
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City | LITTLE ROCK
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State | AR
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Zip | 72206-1222
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Country | US
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Telephone | 501-374-6565
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Fax | 501-374-6231
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANDREW HARP
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Credential | PHARM.D
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Telephone | 501-374-6565
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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 | 0412609
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License Number State | AR
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