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General NPI Number Information
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NPI Number | 1427134725
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Entity Type | Organization
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Legal Business Name | HERREN HILL PHARMACY,INC.
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Dates
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Enumeration Date | 10/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 24 HERREN HILL RD
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City | TALLASSEE
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State | AL
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Zip | 36078-1254
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Country | US
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Telephone | 334-252-8800
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Fax | 334-252-8688
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Provider Business Mailing Address
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Address Line | 24 HERREN HILL RD
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City | TALLASSEE
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State | AL
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Zip | 36078-1254
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Country | US
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Telephone | 334-252-8800
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Fax | 334-252-8688
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Authorized Official
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Title or Position | OWNER/SUPERVISING PHARMACIST
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Name | MR. ROBERT K. HERREN
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Credential | RPH
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Telephone | 334-252-8800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 111669
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License Number State | AL
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