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General NPI Number Information
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NPI Number | 1003306515
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Entity Type | Organization
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Legal Business Name | BRIGHTVIEW PHARMACY, LLC
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Dates
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Enumeration Date | 05/10/2018
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Last Update Date | 08/23/2019
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Provider Practice Location Address
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Address Line | 3333 OLD MILTON PKWY STE 130
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City | ALPHARETTA
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State | GA
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Zip | 30005
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Country | US
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Telephone | 678-744-7079
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Fax |
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Provider Business Mailing Address
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Address Line | 3333 OLD MILTON PKWY STE 130
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City | ALPHARETTA
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State | GA
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Zip | 30005-4437
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Country | US
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Telephone | 470-264-1097
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Fax |
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Authorized Official
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Title or Position | PIC
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Name | SONAL PATEL
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Credential | RPH
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Telephone | 470-264-1097
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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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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