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General NPI Number Information
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NPI Number | 1154612323
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Entity Type | Organization
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Legal Business Name | GLOVER DRUG AT WALKER BAPTIST
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Dates
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Enumeration Date | 04/22/2011
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Last Update Date | 04/22/2011
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Provider Practice Location Address
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Address Line | 3400 HIGHWAY 78 E MEDICAL ARTS TOWER SUITE 101
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City | JASPER
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State | AL
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Zip | 35501-8907
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Country | US
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Telephone | 205-567-8398
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Fax |
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Provider Business Mailing Address
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Address Line | 3400 HIGHWAY 78 E MEDICAL ARTS TOWER SUITE 101
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City | JASPER
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State | AL
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Zip | 35501-8907
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Country | US
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Telephone | 205-567-8398
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Fax |
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Authorized Official
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Title or Position | OWNER/PARTNER
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Name | DR. WILLIAM B MYERS
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Credential | PHARM.D.
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Telephone | 205-567-8398
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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 |
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License Number State | AL
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