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General NPI Number Information
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NPI Number | 1437420031
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Entity Type | Organization
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Legal Business Name | PARKWAY PHARMACY, LLC
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Dates
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Enumeration Date | 01/13/2012
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Last Update Date | 02/13/2012
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Provider Practice Location Address
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Address Line | 4700 BATTLEFIELD PKWY SUITE 110
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City | RINGGOLD
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State | GA
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Zip | 30736-5170
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Country | US
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Telephone | 706-866-8475
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Fax | 706-866-8477
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Provider Business Mailing Address
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Address Line | 4700 BATTLEFIELD PKWY SUITE 110
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City | RINGGOLD
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State | GA
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Zip | 30736-5170
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Country | US
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Telephone | 706-866-8475
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Fax | 706-866-8477
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHARLES GASS
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Credential | RPH
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Telephone | 706-855-8475
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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 | PHRE008872
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License Number State | GA
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