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General NPI Number Information
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NPI Number | 1982730974
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Entity Type | Organization
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Legal Business Name | PEARSONS DISCOUNT DRUGS LLC
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 05/24/2022
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Provider Practice Location Address
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Address Line | 101 E WASHINGTON ST
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City | HOUSTON
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State | MS
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Zip | 38851-2225
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Country | US
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Telephone | 662-456-2551
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Fax | 662-456-3020
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Provider Business Mailing Address
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Address Line | 101 E WASHINGTON ST
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City | HOUSTON
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State | MS
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Zip | 38851-2225
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Country | US
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Telephone | 662-456-2551
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Fax | 662-456-3020
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | WALTER STEPHEN PEARSON
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Credential |
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Telephone | 662-456-2551
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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 | 1679PH
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License Number State | MS
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