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General NPI Number Information
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NPI Number | 1942234109
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Entity Type | Organization
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Legal Business Name | HENRICH DRUG STORE, INC
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 210 COURT SQ
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City | LEXINGTON
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State | MS
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Zip | 39095-3628
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Country | US
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Telephone | 662-834-2842
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Fax |
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Provider Business Mailing Address
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Address Line | 210 COURT SQ
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City | LEXINGTON
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State | MS
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Zip | 39095-3628
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Country | US
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Telephone | 662-834-2842
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Fax |
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Authorized Official
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Title or Position | PRES/PHARMACIST
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Name | MICHAEL THOMAS
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Credential | RPH
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Telephone | 662-834-2842
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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 | 00351
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License Number State | MS
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