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General NPI Number Information
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NPI Number | 1952117475
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Entity Type | Organization
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Legal Business Name | RIVER BEND PHARMACY GROUP LLC
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Dates
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Enumeration Date | 12/09/2024
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 313 MAIN ST
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City | DES ARC
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State | AR
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Zip | 72040-7905
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Country | US
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Telephone | 870-256-4317
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Fax | 870-256-3387
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Provider Business Mailing Address
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Address Line | 105 BARTLETT RD
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City | SEARCY
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State | AR
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Zip | 72143-8653
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Country | US
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Telephone | 501-278-4065
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DONALD PEYTON HARVEY
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Credential |
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Telephone | 501-278-4065
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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