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General NPI Number Information
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NPI Number | 1003981598
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Entity Type | Organization
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Legal Business Name | MONTGOMERY DRUG CO INC.
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3016 MCGEHEE RD
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City | MONTGOMERY
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State | AL
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Zip | 36111-2203
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Country | US
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Telephone | 334-281-1671
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Fax |
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Provider Business Mailing Address
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Address Line | 3016 MCGEHEE RD
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City | MONTGOMERY
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State | AL
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Zip | 36111-2203
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Country | US
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Telephone | 334-281-1671
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MICHAEL J VINSON
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Credential |
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Telephone | 334-264-3496
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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 | 101015
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License Number State | AL
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