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General NPI Number Information
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NPI Number | 1508588070
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Entity Type | Organization
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Legal Business Name | HEADLAND PHARMACY LLC
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Dates
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Enumeration Date | 09/13/2022
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 17920 US HIGHWAY 431 S
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City | HEADLAND
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State | AL
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Zip | 36345-8449
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Country | US
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Telephone | 334-785-8045
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Fax | 334-785-8047
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Provider Business Mailing Address
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Address Line | 300 N DEAN RD SUITE 5 NUMBER 202
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City | AUBURN
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State | AL
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Zip | 36830
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Country | US
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Telephone | 334-797-7992
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Fax | 334-785-8047
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Authorized Official
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Title or Position | OWNER
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Name | MR. JOE A DALTON
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Credential |
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Telephone | 334-797-7992
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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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