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General NPI Number Information
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NPI Number | 1427853837
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Entity Type | Organization
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Legal Business Name | ALABAMA PHARMACY LLC
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Dates
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Enumeration Date | 02/18/2025
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 7001 CRESTWOOD BLVD STE 112
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City | IRONDALE
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State | AL
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Zip | 35210-2345
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Country | US
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Telephone | 205-974-3612
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Fax |
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Provider Business Mailing Address
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Address Line | 7001 CRESTWOOD BLVD STE 112
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City | IRONDALE
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State | AL
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Zip | 35210-2345
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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 | DR. BRETT EISENMANN
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Credential |
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Telephone | 770-328-3952
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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 |
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License Number State |
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