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General NPI Number Information
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NPI Number | 1013001411
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Entity Type | Organization
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Legal Business Name | PHARMACY INVESTMENT COORDINATORS INC
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 08/19/2024
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Provider Practice Location Address
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Address Line | 1768 S EUFAULA AVE STE 1
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City | EUFAULA
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State | AL
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Zip | 36027-3140
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Country | US
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Telephone | 334-687-0021
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Fax | 334-687-9821
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Provider Business Mailing Address
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Address Line | PO BOX 72188
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City | ALBANY
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State | GA
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Zip | 31708-2188
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Country | US
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Telephone | 229-435-4571
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Fax | 229-317-7706
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Authorized Official
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Title or Position | CORPORATE SECRETARY
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Name | TRACY C ALLIGOOD
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Credential |
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Telephone | 229-435-4571
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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 | 109651
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License Number State | AL
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