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NPI 1316206790

NPI 1316206790 : HEALTH CARE AUTHORITY FOR BAPTIST HEALTH, AN AFFILIATE OF UABHS : MONTGOMERY, AL

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General NPI Number Information
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    NPI Number           |    1316206790
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    Entity Type          |    Organization 
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    Legal Business Name  |    HEALTH CARE AUTHORITY FOR BAPTIST HEALTH, AN AFFILIATE OF UABHS 
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Dates
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    Enumeration Date     |    05/07/2012
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    Last Update Date     |    11/22/2024
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Provider Practice Location Address
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    Address Line         |    4145 CARMICHAEL RD STE A
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    City                 |    MONTGOMERY
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    State                |    AL
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    Zip                  |    36106-2803
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    Country              |    US
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    Telephone            |    334-273-2281
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    Fax                  |    334-368-2936
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Provider Business Mailing Address
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    Address Line         |    4145 CARMICHAEL RD STE A
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    City                 |    MONTGOMERY
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    State                |    AL
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    Zip                  |    36106-2803
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    Country              |    US
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    Telephone            |    334-273-2281
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    Fax                  |    334-368-2936
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Authorized Official
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    Title or Position    |    DIRECTOR OF PHARMACY
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    Name                 |     CARRIE  WEBB 
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    Credential           |    PHARM.D.
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    Telephone            |    334-273-2272
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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       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    3336S0011X
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    Taxonomy Name        |    Specialty Pharmacy
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    3336C0003X
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    Taxonomy Name        |    Community/Retail Pharmacy
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    License Number       |    111763
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    License Number State |    AL
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