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General NPI Number Information
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NPI Number | 1891789715
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Entity Type | Organization
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Legal Business Name | RHEA DRUG STORE, INC
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Dates
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Enumeration Date | 09/07/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2801 KAVANAUGH BLVD
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City | LITTLE ROCK
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State | AR
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Zip | 72205-3849
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Country | US
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Telephone | 501-663-4131
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Fax | 501-663-6202
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Provider Business Mailing Address
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Address Line | 2801 KAVANAUGH BLVD
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City | LITTLE ROCK
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State | AR
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Zip | 72205-3849
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Country | US
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Telephone | 501-663-4131
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Fax | 501-663-6202
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Authorized Official
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Title or Position | OWNER
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Name | JOSEPH PATRICK SEARCY
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Credential | RPH
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Telephone | 501-663-4131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | AR13687
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License Number State | AR
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