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General NPI Number Information
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NPI Number | 1922037993
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Entity Type | Organization
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Legal Business Name | RLS SUPERMARKETS LLC
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 06/18/2015
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Provider Practice Location Address
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Address Line | 4836 W PARK BLVD
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City | PLANO
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State | TX
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Zip | 75093-2330
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Country | US
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Telephone | 972-964-8287
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Fax | 972-985-7807
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Provider Business Mailing Address
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Address Line | 4836 W PARK BLVD
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City | PLANO
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State | TX
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Zip | 75093-2330
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Country | US
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Telephone | 972-964-8287
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Fax | 972-985-7807
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | JOHN PIPER
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Credential |
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Telephone | 972-754-4436
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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 | 29928
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License Number State | TX
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