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NPI 1083786305

NPI 1083786305 : CAMP DRUGS, LLC : HENAGAR, AL

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General NPI Number Information
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    NPI Number           |    1083786305
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    Entity Type          |    Organization 
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    Legal Business Name  |    CAMP DRUGS, LLC 
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Dates
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    Enumeration Date     |    11/14/2006
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    Last Update Date     |    03/07/2023
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Provider Practice Location Address
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    Address Line         |    18294 BROAD ST 
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    City                 |    HENAGAR
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    State                |    AL
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    Zip                  |    35978-4374
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    Country              |    US
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    Telephone            |    256-657-5187
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    Fax                  |    256-657-2232
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Provider Business Mailing Address
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    Address Line         |    18294 BROAD ST 
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    City                 |    HENAGAR
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    State                |    AL
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    Zip                  |    35978-4374
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    Country              |    US
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    Telephone            |    256-657-5187
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    Fax                  |    256-657-2232
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Authorized Official
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    Title or Position    |    PHARMACIST
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    Name                 |     KEVIN  CAMP 
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    Credential           |    
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    Telephone            |    256-657-5187
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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       |    13788
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    License Number State |    AL
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