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General NPI Number Information
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NPI Number | 1023566205
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Entity Type | Organization
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Legal Business Name | ALLYSCRIPTS LLC
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Dates
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Enumeration Date | 09/15/2016
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Last Update Date | 06/12/2019
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Provider Practice Location Address
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Address Line | 201 LONNIE E CRAWFORD BLVD SUITE B
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City | SCOTTSBORO
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State | AL
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Zip | 35769
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Country | US
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Telephone | 256-218-5513
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Fax | 844-309-7173
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Provider Business Mailing Address
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Address Line | 201 LONNIE E CRAWFORD BLVD SUITE B
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City | SCOTTSBORO
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State | AL
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Zip | 35769
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Country | US
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Telephone | 256-218-5513
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Fax | 844-309-7173
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | LISA DIANE PIERCE
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Credential | PHARMBS
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Telephone | 256-218-5513
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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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Taxonomy #3
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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