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General NPI Number Information
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NPI Number | 1992221287
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Entity Type | Organization
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Legal Business Name | SOUTHERN HEALTH AND WELLNESS, INC
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Dates
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Enumeration Date | 08/17/2017
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Last Update Date | 11/01/2025
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Provider Practice Location Address
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Address Line | 203 NEWSOME DR STE A
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City | MARKED TREE
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State | AR
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Zip | 72365-2018
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Country | US
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Telephone | 870-358-2135
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Fax | 870-358-4055
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Provider Business Mailing Address
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Address Line | 3005 APACHE DR
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City | JONESBORO
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State | AR
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Zip | 72401-7432
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Country | US
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Telephone | 870-275-9496
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Fax | 870-455-0714
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KYLE ANDREW LOMAX
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Credential | PHARM. D.
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Telephone | 870-275-9496
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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 | AR04575
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License Number State | AR
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