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General NPI Number Information
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NPI Number | 1063812337
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Entity Type | Organization
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Legal Business Name | JANN'S PHARMACY, INC.
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Dates
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Enumeration Date | 08/24/2014
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Last Update Date | 12/31/2019
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Provider Practice Location Address
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Address Line | 1825 MCFARLAND BLVD N SUITE 200
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City | TUSCALOOSA
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State | AL
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Zip | 35406-2251
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Country | US
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Telephone | 205-752-2045
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Fax | 205-752-2546
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Provider Business Mailing Address
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Address Line | PO BOX 1487
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City | NORTHPORT
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State | AL
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Zip | 35476-6487
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Country | US
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Telephone | 205-752-2045
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Fax | 205-752-2546
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Authorized Official
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Title or Position | OWNER/PIC
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Name | JANN SIDES
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Credential | RPH
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Telephone | 205-752-2045
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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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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 10242
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License Number State | AL
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