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General NPI Number Information
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NPI Number | 1437138377
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Entity Type | Organization
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Legal Business Name | WIREGRASS DRUGS INC
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Dates
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Enumeration Date | 01/10/2006
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 7771 HWY 43
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City | MCINTOSH
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State | AL
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Zip | 36553
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Country | US
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Telephone | 251-944-2563
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Fax | 251-944-3080
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Provider Business Mailing Address
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Address Line | PO BOX 72188
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City | ALBANY
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State | GA
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Zip | 31708-2188
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Country | US
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Telephone | 229-435-4571
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Fax | 229-878-4926
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Authorized Official
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Title or Position | OWNER
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Name | THOMAS SHARPE
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Credential |
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Telephone | 229-435-4571
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 106354
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 106354
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License Number State | AL
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Taxonomy #3
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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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