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General NPI Number Information
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NPI Number | 1245578251
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Entity Type | Organization
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Legal Business Name | TUSCALOOSA DRUG 5 POINTS, LLC
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Dates
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Enumeration Date | 01/25/2013
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Last Update Date | 01/25/2013
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Provider Practice Location Address
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Address Line | 4301 VETERANS MEMORIAL PKWY
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City | TUSCALOOSA
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State | AL
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Zip | 35404-5185
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Country | US
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Telephone | 205-792-7264
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Fax |
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Provider Business Mailing Address
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Address Line | 4301 VETERANS MEMORIAL PKWY
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City | TUSCALOOSA
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State | AL
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Zip | 35404-5185
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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
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Name | MR. BRIAN DANIEL SWEATT
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Credential | PHARMD
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Telephone | 205-270-2000
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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 | 114040
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License Number State | AL
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