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General NPI Number Information
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NPI Number | 1841698909
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Entity Type | Organization
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Legal Business Name | HOBGOOD PHARMACY, LLC
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Dates
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Enumeration Date | 12/05/2014
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Last Update Date | 12/05/2014
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Provider Practice Location Address
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Address Line | 2640 COUNTRY CLUB RD STE 150
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City | LAKE CHARLES
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State | LA
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Zip | 70605-6079
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Country | US
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Telephone | 337-602-6024
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Fax | 337-602-6028
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Provider Business Mailing Address
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Address Line | 2640 COUNTRY CLUB RD STE 150
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City | LAKE CHARLES
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State | LA
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Zip | 70605-6079
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Country | US
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Telephone | 337-602-6024
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Fax | 337-602-6028
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | MR. KRISTOPHER CHAD HOBGOOD
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Credential | PHARMD
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Telephone | 225-803-5463
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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 | 7014
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License Number State | LA
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