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General NPI Number Information
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NPI Number | 1386833309
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Entity Type | Organization
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Legal Business Name | LA FARMACIA PHARMACY INC
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Dates
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Enumeration Date | 10/16/2007
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Last Update Date | 10/07/2008
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Provider Practice Location Address
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Address Line | 3133 LORNA RD STE 102
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City | HOOVER
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State | AL
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Zip | 35216-7401
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Country | US
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Telephone | 205-978-4060
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Fax | 205-978-8343
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Provider Business Mailing Address
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Address Line | 3133 LORNA RD STE 102
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City | HOOVER
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State | AL
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Zip | 35216-7401
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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 | OWNER
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Name | ROBERT MILLS
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Credential | PHRMD
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Telephone | 205-223-4704
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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 | 113016
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License Number State | AL
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