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General NPI Number Information
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NPI Number | 1073662276
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Entity Type | Organization
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Legal Business Name | BEATY DRUG COMPANY, INC
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 07/06/2012
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Provider Practice Location Address
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Address Line | 201 19TH ST E
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City | JASPER
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State | AL
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Zip | 35501-5457
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Country | US
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Telephone | 205-387-1403
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Fax |
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Provider Business Mailing Address
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Address Line | 201 19TH ST E
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City | JASPER
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State | AL
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Zip | 35501-5457
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Country | US
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Telephone | 205-387-1403
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. DUSTIN J BEATY
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Credential |
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Telephone | 205-387-1403
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number |
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License Number State |
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