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General NPI Number Information
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NPI Number | 1265549547
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Entity Type | Organization
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Legal Business Name | JOSEPH H CARSTARPHEN
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Dates
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Enumeration Date | 08/24/2006
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Last Update Date | 06/27/2008
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Provider Practice Location Address
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Address Line | 618 MEDICAL CENTER PARKWAY SUITE B
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City | SELMA
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State | AL
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Zip | 36702-2050
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Country | US
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Telephone | 334-875-7686
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Fax | 334-875-7687
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Provider Business Mailing Address
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Address Line | PO BOX 2050 618 MEDICAL CENTER PARKWAY SUITE B
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City | SELMA
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State | AL
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Zip | 36702-2050
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Country | US
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Telephone | 334-875-7686
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Fax | 334-875-7687
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Authorized Official
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Title or Position | PHARMACIST OWNER
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Name | MR. JOSEPH H CARSTARPHEN
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Credential | RPH
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Telephone | 334-875-7686
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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 | 105490
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License Number State | AL
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