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General NPI Number Information
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NPI Number | 1245271071
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Entity Type | Organization
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Legal Business Name | JEFFERSON HEALTH SYSTEM PHARMACY
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Dates
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Enumeration Date | 06/10/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1700 AVENUE E ENSLEY
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City | BIRMINGHAM
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State | AL
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Zip | 35218-1543
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Country | US
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Telephone | 205-241-5240
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Fax | 205-241-5299
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Provider Business Mailing Address
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Address Line | 1700 AVENUE E ENSLEY
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City | BIRMINGHAM
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State | AL
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Zip | 35218-1543
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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 | DIRECTOR OF PHARMACY
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Name | GLEN THOMPSON
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Credential |
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Telephone | 205-930-3359
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 160022
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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