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General NPI Number Information
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NPI Number | 1902474190
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Entity Type | Organization
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Legal Business Name | MANTACHIE PHARMACY LLC
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Dates
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Enumeration Date | 06/14/2021
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Last Update Date | 06/14/2021
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Provider Practice Location Address
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Address Line | 3309 HIGHWAY 371 N
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City | MANTACHIE
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State | MS
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Zip | 38855-7267
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Country | US
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Telephone | 662-282-7000
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Fax | 662-282-7007
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Provider Business Mailing Address
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Address Line | PO BOX 96
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City | MANTACHIE
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State | MS
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Zip | 38855-0096
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Country | US
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Telephone | 662-282-7000
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KATLYN SPRADLING
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Credential |
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Telephone | 662-282-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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