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General NPI Number Information
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NPI Number | 1164360491
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Entity Type | Organization
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Legal Business Name | MONTGOMERY DRUG COMPANY INC
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Dates
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Enumeration Date | 03/25/2026
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Last Update Date | 03/25/2026
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Provider Practice Location Address
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Address Line | 24 HERREN HILL RD
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City | TALLASSEE
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State | AL
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Zip | 36078-1254
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Country | US
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Telephone | 334-640-0113
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Fax | 334-640-0110
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Provider Business Mailing Address
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Address Line | 1633 PERRY HILL RD
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City | MONTGOMERY
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State | AL
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Zip | 36106-2729
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Country | US
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Telephone | 334-386-8813
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Fax | 334-386-8814
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Authorized Official
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Title or Position | PHARMACY DIRECTOR
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Name | MR. CHRIS H PHUNG
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Credential |
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Telephone | 334-538-2484
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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 |
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