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General NPI Number Information
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NPI Number | 1134567100
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Entity Type | Organization
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Legal Business Name | MILLS PHARMACY AT WOODLAWN LLC
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Dates
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Enumeration Date | 06/12/2013
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Last Update Date | 04/10/2020
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Provider Practice Location Address
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Address Line | 6501 1ST AVE N
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City | BIRMINGHAM
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State | AL
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Zip | 35206-5009
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Country | US
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Telephone | 205-591-7800
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Fax | 205-591-7888
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Provider Business Mailing Address
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Address Line | PO BOX 26679
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City | BIRMINGHAM
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State | AL
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Zip | 35260-0679
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Country | US
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Telephone | 205-871-9007
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Fax | 205-874-9946
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Authorized Official
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Title or Position | PHARMACIST
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Name | JOSH HARDIN
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Credential | PHARMD
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Telephone | 205-427-0955
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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 | 114141
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License Number State | AL
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