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General NPI Number Information
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NPI Number | 1265668289
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL PHARMACY, INC
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Dates
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Enumeration Date | 06/04/2009
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Last Update Date | 06/04/2009
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Provider Practice Location Address
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Address Line | 4415 OLD SHELL RD
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City | MOBILE
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State | AL
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Zip | 36608-1911
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Country | US
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Telephone | 251-300-3003
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Fax | 251-300-3004
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Provider Business Mailing Address
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Address Line | 4415 OLD SHELL RD
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City | MOBILE
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State | AL
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Zip | 36608-1911
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Country | US
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Telephone | 251-300-3003
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Fax | 251-300-3004
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Authorized Official
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Title or Position | PRESIDENT/TREASURER
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Name | GEORGE BUSBY
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Credential | R.PH.
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Telephone | 251-300-3003
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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 |
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License Number State |
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