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General NPI Number Information
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NPI Number | 1952078123
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Entity Type | Organization
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Legal Business Name | QUESS PHARMACY INC.
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Dates
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Enumeration Date | 08/25/2021
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Last Update Date | 09/12/2024
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Provider Practice Location Address
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Address Line | 430 W BROADWAY ST
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City | WEST MEMPHIS
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State | AR
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Zip | 72301-2904
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Country | US
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Telephone | 870-394-3060
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Fax | 888-804-2856
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Provider Business Mailing Address
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Address Line | 430 W BROADWAY ST
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City | WEST MEMPHIS
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State | AR
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Zip | 72301-2904
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Country | US
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Telephone | 870-394-3060
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Fax | 888-804-2856
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Authorized Official
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Title or Position | PIC
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Name | DR. KRISTAIN BRADLEY DEDMON
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Credential | PHARMD
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Telephone | 870-394-3060
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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 |
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License Number State |
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