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General NPI Number Information
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NPI Number | 1093055287
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Entity Type | Organization
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Legal Business Name | BROWN'S DISCOUNT APOTHECARY BC, INC
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Dates
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Enumeration Date | 02/25/2013
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Last Update Date | 02/25/2013
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Provider Practice Location Address
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Address Line | 2965 HIGHWAY 195
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City | JASPER
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State | AL
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Zip | 35503-3840
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Country | US
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Telephone | 205-265-3095
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Fax |
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Provider Business Mailing Address
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Address Line | 2965 HIGHWAY 195
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City | JASPER
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State | AL
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Zip | 35503-3840
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Country | US
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Telephone | 205-265-3095
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GEORGE R. BOLLING JR.
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Credential |
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Telephone | 205-265-3095
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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 | 114054
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License Number State | AL
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