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General NPI Number Information
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NPI Number | 1992271803
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Entity Type | Organization
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Legal Business Name | PEOPLE'S PHARMACY, LLC
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Dates
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Enumeration Date | 10/17/2018
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Last Update Date | 12/25/2018
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Provider Practice Location Address
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Address Line | 411 E LEE ST STE C
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City | SARDIS
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State | MS
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Zip | 38666-1227
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Country | US
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Telephone | 601-497-1431
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 115
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City | SARDIS
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State | MS
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Zip | 38666-0115
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Country | US
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Telephone | 601-497-1431
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Fax |
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | BROOKE M LEWIS
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Credential | PHARMD
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Telephone | 662-857-5173
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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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