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General NPI Number Information
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NPI Number | 1225447485
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Entity Type | Organization
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Legal Business Name | BRANNON STAND DRUGS, INC.
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Dates
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Enumeration Date | 08/12/2014
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Last Update Date | 05/09/2022
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Provider Practice Location Address
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Address Line | 1971 S BRANNON STAND RD SUITE 1
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City | DOTHAN
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State | AL
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Zip | 36305-7180
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Country | US
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Telephone | 334-446-5300
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Fax | 334-446-3122
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Provider Business Mailing Address
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Address Line | 1971 S BRANNON STAND RD SUITE 1
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City | DOTHAN
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State | AL
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Zip | 36305-7180
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Country | US
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Telephone | 334-446-5300
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Fax | 334-446-3122
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Authorized Official
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Title or Position | SUPERVISING PHARMACIST
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Name | DR. KEVIN A TAYLOR
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Credential | PHARMD
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Telephone | 850-326-1525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care 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 |
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License Number State |
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