{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "CARROUTHRX",
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"FirstName": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "146 CANYON CREEK CT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HOT SPRINGS",
"MailingAddressStateName": "AR",
"MailingAddressPostalCode": "71913-8868",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "250 ADAM BROWN RD STE D",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PEARCY",
"PracticeLocationAddressStateName": "AR",
"PracticeLocationAddressPostalCode": "71964-9505",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "501-521-1500",
"PracticeLocationAddressFaxNumber": "501-521-2500",
"EnumerationDate": "04/22/2021",
"LastUpdateDate": "06/16/2021",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CARROUTH",
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"AuthorizedOfficialCredential": "PHARMD",
"AuthorizedOfficialTelephoneNumber": "501-282-9997",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}