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General NPI Number Information
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NPI Number | 1184804445
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Entity Type | Organization
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Legal Business Name | SUTTON FAMILY PHARMACY INC
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Dates
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Enumeration Date | 11/05/2007
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Last Update Date | 04/30/2015
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Provider Practice Location Address
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Address Line | 3957 CLEVELAND HWY UNIT A
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City | DALTON
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State | GA
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Zip | 30721-2052
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Country | US
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Telephone | 706-852-1802
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Fax | 706-852-2206
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Provider Business Mailing Address
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Address Line | 3957 CLEVELAND HWY UNIT A
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City | DALTON
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State | GA
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Zip | 30721-2052
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Country | US
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Telephone | 706-852-1802
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Fax | 706-852-2206
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Authorized Official
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Title or Position | OWNER
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Name | GREGORY SUTTON
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Credential | RPH
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Telephone | 706-618-1773
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHRE009405
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License Number State | GA
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