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General NPI Number Information
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NPI Number | 1871944827
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Entity Type | Organization
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Legal Business Name | BYHALIA DRUG COMPANY LLC
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Dates
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Enumeration Date | 06/30/2016
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Last Update Date | 05/23/2023
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Provider Practice Location Address
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Address Line | 7984 HIGHWAY 178
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City | BYHALIA
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State | MS
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Zip | 38611-6840
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Country | US
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Telephone | 662-838-3784
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Fax | 662-838-3675
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Provider Business Mailing Address
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Address Line | 7984 HIGHWAY 178
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City | BYHALIA
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State | MS
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Zip | 38611-6840
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Country | US
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Telephone | 662-838-3784
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Fax | 662-838-3675
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Authorized Official
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Title or Position | OWNER
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Name | TONY SMITH
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Credential |
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Telephone | 662-728-1951
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 14850/1.1
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License Number State | MS
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