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General NPI Number Information
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NPI Number | 1215979885
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Entity Type | Organization
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Legal Business Name | EDMONDSON DRUG COMPANY INC
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 08/19/2015
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Provider Practice Location Address
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Address Line | 445 AL HIGHWAY 69 S STE D
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City | HANCEVILLE
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State | AL
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Zip | 35077-3437
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Country | US
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Telephone | 256-287-9099
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Fax | 256-287-2817
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Provider Business Mailing Address
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Address Line | PO BOX 789
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City | CULLMAN
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State | AL
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Zip | 35056-0789
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER AND PHARMACIST
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Name | CHARLOTTE EDMONDSON
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Credential | PHARMD
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Telephone | 256-287-9099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 111500
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License Number State | AL
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