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General NPI Number Information
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NPI Number | 1295992543
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Entity Type | Organization
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Legal Business Name | MED EXPRESS PHARMACY INC
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Dates
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Enumeration Date | 05/22/2008
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Last Update Date | 05/02/2014
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Provider Practice Location Address
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Address Line | 1541 W MAGNOLIA AVE STE 2
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City | GENEVA
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State | AL
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Zip | 36340-1213
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Country | US
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Telephone | 334-684-7011
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Fax | 334-684-7009
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Provider Business Mailing Address
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Address Line | PO BOX 69
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City | GENEVA
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State | AL
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Zip | 36340-0069
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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 | PHCY MANG
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Name | RAY ANDERSON
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Credential |
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Telephone | 334-684-7011
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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 | 113103
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License Number State | AL
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