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General NPI Number Information
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NPI Number | 1245320613
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Entity Type | Organization
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Legal Business Name | PHIL CAMPBELL DRUGS, LLC
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 12/06/2023
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Provider Practice Location Address
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Address Line | 2936 HIGHWAY 237
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City | PHIL CAMPBELL
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State | AL
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Zip | 35581
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Country | US
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Telephone | 205-993-4123
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Fax | 205-993-5181
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Provider Business Mailing Address
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Address Line | PO BOX 610
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City | PHIL CAMPBELL
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State | AL
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Zip | 35581-0610
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Country | US
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Telephone | 205-993-4123
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Fax | 205-993-5181
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | TAMARA R YANCEY
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Credential | R.PH.
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Telephone | 205-993-4123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 107705
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License Number State | AL
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