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General NPI Number Information
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NPI Number | 1033022710
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Entity Type | Organization
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Legal Business Name | FIVE HORIZONS PHARMACY LLC
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Dates
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Enumeration Date | 09/24/2026
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Last Update Date | 09/24/2026
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Provider Practice Location Address
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Address Line | 2567 FAIRLANE DR STE 100
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City | MONTGOMERY
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State | AL
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Zip | 36116-1643
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Country | US
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Telephone | 334-280-3349
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Fax |
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Provider Business Mailing Address
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Address Line | 2715 7TH ST
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City | TUSCALOOSA
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State | AL
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Zip | 35401-1805
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | CHRISTOPHER WHITE
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Credential |
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Telephone | 659-734-2302
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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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