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General NPI Number Information
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NPI Number | 1952411332
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Entity Type | Organization
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Legal Business Name | PEOPLES DRUG STORE LEXINGTON INC
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 09/19/2023
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Provider Practice Location Address
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Address Line | 102 COURT SQ
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City | LEXINGTON
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State | MS
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Zip | 39095-3626
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Country | US
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Telephone | 662-834-2722
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Fax | 662-834-1711
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Provider Business Mailing Address
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Address Line | 102 COURT SQ
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City | LEXINGTON
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State | MS
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Zip | 39095-3626
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Country | US
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Telephone | 662-834-2722
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Fax | 662-834-1711
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GUY M PHILLIPS
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Credential | R.PH.
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Telephone | 662-834-2722
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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 | 00350-01.1
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License Number State | MS
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