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NPI 1235475237

NPI 1235475237 : VICKIE KELPKE MALY RPH : PELHAM, AL

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General NPI Number Information
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    NPI Number           |    1235475237
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    Entity Type          |    Individual 
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    Provider Name        |    VICKIE KELPKE MALY RPH
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/19/2012
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    Last Update Date     |    04/26/2022
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Provider Practice Location Address
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    Address Line         |    237 CAHABA VALLEY PKWY 
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    City                 |    PELHAM
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    State                |    AL
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    Zip                  |    35124-1146
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    Country              |    US
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    Telephone            |    205-901-5477
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    Fax                  |    866-209-5540
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Provider Business Mailing Address
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    Address Line         |    237 CAHABA VALLEY PKWY 
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    City                 |    PELHAM
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    State                |    AL
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    Zip                  |    35124-1146
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    Country              |    US
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    Telephone            |    205-901-5477
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    Fax                  |    205-682-7616
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    11427
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    License Number State |    AL
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