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General NPI Number Information
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NPI Number | 1043687882
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Entity Type | Organization
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Legal Business Name | DRUID CITY INFUSION
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Dates
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Enumeration Date | 08/27/2015
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Last Update Date | 11/08/2018
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Provider Practice Location Address
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Address Line | 611 MCFARLAND BLVD STE C
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City | NORTHPORT
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State | AL
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Zip | 35476-3333
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Country | US
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Telephone | 205-409-9601
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Fax | 205-449-7509
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Provider Business Mailing Address
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Address Line | 611 MCFARLAND BLVD STE C
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City | NORTHPORT
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State | AL
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Zip | 35476-3333
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Country | US
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Telephone | 205-409-9601
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Fax | 205-449-7509
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Authorized Official
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Title or Position | CO-OWNER
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Name | LOGAN DAVIS
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Credential |
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Telephone | 601-703-2363
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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 | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number |
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License Number State |
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