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General NPI Number Information
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NPI Number | 1497864037
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Entity Type | Organization
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Legal Business Name | LEMOX-CLOVERDALE DRUGS INC
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 01/06/2011
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Provider Practice Location Address
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Address Line | 130 9TH ST S
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City | BESSEMER
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State | AL
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Zip | 35020-6392
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Country | US
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Telephone | 205-428-4146
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Fax | 205-428-2664
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Provider Business Mailing Address
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Address Line | PO BOX 647
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City | BESSEMER
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State | AL
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Zip | 35021-0647
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Country | US
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Telephone | 205-428-4146
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Fax | 205-428-2664
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALVIN KEARLEY
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Credential |
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Telephone | 205-428-4146
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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 | 106080
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License Number State | AL
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