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General NPI Number Information
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NPI Number | 1861493447
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Entity Type | Organization
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Legal Business Name | HAMPTON MEDICAL PHARMACY
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Dates
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Enumeration Date | 08/09/2005
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Last Update Date | 02/11/2009
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Provider Practice Location Address
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Address Line | 344 S LEE
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City | HAMPTON
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State | AR
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Zip | 71744-0732
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Country | US
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Telephone | 870-798-4247
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Fax | 870-798-4934
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Provider Business Mailing Address
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Address Line | PO BOX 719
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City | HAMPTON
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State | AR
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Zip | 71744-0719
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RICHARD BUCHANAN
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Credential | PHRM
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Telephone | 870-798-4247
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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 | AR10655
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License Number State | AR
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