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General NPI Number Information
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NPI Number | 1932274362
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Entity Type | Organization
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Legal Business Name | BIG WORLD DRUG ENTERPRISES INC
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 1531 EAST MAIN STREET
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City | BOONEVILLE
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State | AR
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Zip | 72927
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Country | US
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Telephone | 479-675-3900
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Fax | 479-675-5909
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Provider Business Mailing Address
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Address Line | 1531 EAST MAIN STREET
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City | BOONEVILLE
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State | AR
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Zip | 72927
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Country | US
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Telephone | 479-675-3900
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Fax | 479-675-5909
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Authorized Official
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Title or Position | OWNER/PIC
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Name | WADE WEAVER
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Credential |
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Telephone | 479-675-3900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PD05465
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License Number State | AR
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