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General NPI Number Information
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NPI Number | 1134271869
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Entity Type | Organization
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Legal Business Name | UNIVERSITY HEALTH SERVICE PHARMACY
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 750 5TH AVE EAST ROOM P201
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City | TUSCALOOSA
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State | AL
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Zip | 35401
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Country | US
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Telephone | 205-348-6276
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Fax | 205-348-9850
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Provider Business Mailing Address
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Address Line | PO BOX 870360
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City | TUSCALOOSA
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State | AL
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Zip | 35487-0001
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Country | US
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Telephone | 205-348-6276
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Fax | 205-348-9850
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | MRS. LORETTA E. DRAKE
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Credential | RPH
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Telephone | 205-348-7696
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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 | 180062
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License Number State | AL
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