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General NPI Number Information
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NPI Number | 1427040260
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Entity Type | Organization
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Legal Business Name | THOMAS PHARMACY INC
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Dates
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Enumeration Date | 08/18/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1713 PEPPERELL PKWY
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City | OPELIKA
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State | AL
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Zip | 36801-5548
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Country | US
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Telephone | 334-745-3632
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Fax |
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Provider Business Mailing Address
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Address Line | 1713 PEPPERELL PKWY
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City | OPELIKA
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State | AL
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Zip | 36801-5548
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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 | MR. ROGER BURNETT
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Credential |
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Telephone | 334-745-3632
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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 | 109690
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License Number State | AL
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