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General NPI Number Information
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NPI Number | 1962313775
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Entity Type | Organization
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Legal Business Name | CARTERS SB LLC
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Dates
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Enumeration Date | 09/14/2026
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Last Update Date | 09/14/2026
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Provider Practice Location Address
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Address Line | 6 ELDAD RD
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City | FAYETTEVILLE
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State | TN
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Zip | 37334-7005
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Country | US
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Telephone | 931-438-0760
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Fax | 931-433-1169
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Provider Business Mailing Address
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Address Line | 10394 TIDWELL RD
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City | BON AQUA
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State | TN
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Zip | 37025-1567
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Country | US
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Telephone | 601-946-1826
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Fax |
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Authorized Official
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Title or Position | CEO / PRESIDENT / OWNER
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Name | JIMMY TUCKER
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Credential | RPH
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Telephone | 601-946-1826
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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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