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General NPI Number Information
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NPI Number | 1952282246
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Entity Type | Organization
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Legal Business Name | SOUTHERN OAKS PHARMACY
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Dates
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Enumeration Date | 09/11/2025
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 300 CANTON ST
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City | BERWICK
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State | LA
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Zip | 70342-2723
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Country | US
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Telephone | 985-918-5511
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Fax | 985-918-2318
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Provider Business Mailing Address
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Address Line | 300 CANTON ST
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City | BERWICK
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State | LA
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Zip | 70342-2723
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Country | US
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Telephone | 985-918-5511
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Fax | 985-918-2318
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Authorized Official
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Title or Position | PHARMACIST
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Name | EMILY ALPHA
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Credential | PHARM.D.
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Telephone | 985-918-5511
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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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