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General NPI Number Information
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NPI Number | 1891683215
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Entity Type | Organization
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Legal Business Name | THE DRUG STORE OF MARIANNA LLC
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Dates
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Enumeration Date | 06/25/2025
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 311 W CHESTNUT ST
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City | MARIANNA
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State | AR
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Zip | 72360-2131
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Country | US
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Telephone | 870-295-4100
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Fax | 800-850-8423
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Provider Business Mailing Address
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Address Line | 311 W CHESTNUT ST
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City | MARIANNA
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State | AR
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Zip | 72360-2131
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Country | US
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Telephone | 870-295-4100
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Fax | 800-850-8423
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | MISS SHELBY BURCHFIELD
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Credential | PHARM D.
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Telephone | 870-295-4100
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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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