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General NPI Number Information
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NPI Number | 1275607368
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Entity Type | Organization
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Legal Business Name | NEIL'S PHARMACY, INC
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 06/15/2012
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Provider Practice Location Address
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Address Line | 1573 CAHABA VALLEY RD
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City | PELHAM
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State | AL
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Zip | 35124-3251
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Country | US
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Telephone | 205-988-5023
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Fax | 205-988-5024
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Provider Business Mailing Address
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Address Line | 1573 CAHABA VALLEY RD
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City | PELHAM
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State | AL
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Zip | 35124-3251
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Country | US
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Telephone | 205-988-5023
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Fax | 205-988-5024
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Authorized Official
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Title or Position | OWNER
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Name | MR. NEIL DAMRON
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Credential | RPH
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Telephone | 205-988-5023
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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 | 107125
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License Number State | AL
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