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General NPI Number Information
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NPI Number | 1295331742
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Entity Type | Individual
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Provider Name | BEVERLY FORMBY MCKEE PHARMD
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Gender | Female
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Dates
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Enumeration Date | 12/09/2020
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Last Update Date | 12/09/2020
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Provider Practice Location Address
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Address Line | 5410 HIGHWAY 280
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City | HOOVER
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State | AL
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Zip | 35242-6501
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Country | US
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Telephone | 205-201-7295
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Fax |
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Provider Business Mailing Address
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Address Line | 1706 HELEN RIDGE DR
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City | VESTAVIA HILLS
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State | AL
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Zip | 35242-5627
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Country | US
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Telephone | 205-789-9774
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 15427
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License Number State | AL
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