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General NPI Number Information
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NPI Number | 1417150954
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Entity Type | Organization
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Legal Business Name | EAST POINT PHARMACY, LLC
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Dates
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Enumeration Date | 06/11/2007
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Last Update Date | 06/16/2021
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Provider Practice Location Address
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Address Line | 1442 JONES DAIRY RD.
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City | JASPER
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State | AL
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Zip | 35501
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Country | US
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Telephone | 205-221-5595
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Fax | 205-221-5531
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Provider Business Mailing Address
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Address Line | 1442 JONES DAIRY RD.
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City | JASPER
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State | AL
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Zip | 35501
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Country | US
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Telephone | 205-221-5595
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Fax | 205-221-5531
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Authorized Official
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Title or Position | PART OWNER
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Name | TERESA HINDMAN SHERER
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Credential | PHARMACIST
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Telephone | 205-221-5595
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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 | 112961
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License Number State | AL
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