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General NPI Number Information
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NPI Number | 1346783636
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Entity Type | Organization
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Legal Business Name | B & G PHARMACY SERVICES, INC.
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Dates
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Enumeration Date | 11/18/2016
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Last Update Date | 11/18/2016
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Provider Practice Location Address
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Address Line | 851 GOODYEAR AVE
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City | GADSDEN
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State | AL
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Zip | 35903-1133
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Country | US
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Telephone | 256-456-5850
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Fax | 256-467-3585
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Provider Business Mailing Address
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Address Line | 851 GOODYEAR AVE
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City | GADSDEN
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State | AL
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Zip | 35903-1133
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Country | US
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Telephone | 256-456-5850
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Fax | 256-467-3585
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Authorized Official
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Title or Position | OWNER
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Name | GINGER BROWN BARRON
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Credential | R.PH.
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Telephone | 256-456-5850
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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 | 113401
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License Number State | AL
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