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General NPI Number Information
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NPI Number | 1164888996
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Entity Type | Organization
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Legal Business Name | RITE AID
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Dates
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Enumeration Date | 01/08/2016
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Last Update Date | 01/08/2016
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Provider Practice Location Address
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Address Line | 101 ASBURY ST
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City | TALLADEGA
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State | AL
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Zip | 35160-2570
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Country | US
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Telephone | 256-362-9540
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Fax |
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Provider Business Mailing Address
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Address Line | 101 ASBURY ST
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City | TALLADEGA
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State | AL
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Zip | 35160-2570
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Country | US
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Telephone | 256-362-9540
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | HEATHER FOSTER
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Credential |
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Telephone | 256-710-8881
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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 | 19048
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License Number State | AL
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