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General NPI Number Information
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NPI Number | 1336129808
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Entity Type | Organization
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Legal Business Name | T AND K PHARMACY, INC.
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Dates
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Enumeration Date | 01/19/2006
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 31 DEPOT ST
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City | BERRY
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State | AL
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Zip | 35546-2086
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Country | US
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Telephone | 205-689-4777
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Fax | 205-689-4778
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Provider Business Mailing Address
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Address Line | PO BOX 441
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City | BERRY
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State | AL
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Zip | 35546-0441
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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 | PRESIDENT
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Name | MR. CHARLES KENNETH LLOYD
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Credential | R.PH.
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Telephone | 205-689-4777
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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 | 110447
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License Number State | AL
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