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General NPI Number Information
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NPI Number | 1487901476
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Entity Type | Organization
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Legal Business Name | AU MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 08/08/2012
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 1481 LANEY WALKER BLVD STE 1600
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City | AUGUSTA
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State | GA
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Zip | 30912-0004
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Country | US
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Telephone | 706-723-0900
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Fax | 706-723-0910
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Provider Business Mailing Address
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Address Line | 1120 15TH ST PHARMACY DEPT
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City | AUGUSTA
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State | GA
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Zip | 30912-0004
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Country | US
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Telephone | 706-723-0900
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Fax | 706-723-0910
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Authorized Official
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Title or Position | PHARMACY MANAGER,PIC, BANK
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Name | RASHAD DARBY
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Credential | PHARMD.
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Telephone | 762-375-5722
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHRE009871
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License Number State | GA
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