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General NPI Number Information
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NPI Number | 1881949063
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Entity Type | Organization
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Legal Business Name | HARRIS DRUG AND GIFTS LLC
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Dates
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Enumeration Date | 07/13/2012
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Last Update Date | 03/28/2017
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Provider Practice Location Address
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Address Line | 205 W DEQUEEN AVE
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City | DE QUEEN
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State | AR
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Zip | 71832-2809
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Country | US
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Telephone | 870-584-3555
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Fax | 870-642-7259
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Provider Business Mailing Address
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Address Line | 205 W DEQUEEN AVE
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City | DE QUEEN
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State | AR
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Zip | 71832-2809
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Country | US
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Telephone | 870-584-3555
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Fax | 870-642-7259
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Authorized Official
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Title or Position | OWNER
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Name | RENEE LOGAN
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Credential |
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Telephone | 870-584-3555
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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 | AR12849
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License Number State | AR
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