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General NPI Number Information
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NPI Number | 1518297514
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Entity Type | Organization
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Legal Business Name | EXPRESS PHARMACY LLC
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Dates
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Enumeration Date | 01/13/2010
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Last Update Date | 05/30/2023
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Provider Practice Location Address
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Address Line | 320 BATTLE ST W
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City | TALLADEGA
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State | AL
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Zip | 35160-2431
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Country | US
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Telephone | 256-362-1120
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Fax | 256-761-1377
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Provider Business Mailing Address
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Address Line | PO BOX 6439
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City | TALLADEGA
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State | AL
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Zip | 35161-6439
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Country | US
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Telephone | 256-322-1056
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALICIA FRANKLIN HOLBROOK
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Credential | R.PH.
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Telephone | 256-362-1120
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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 | 113336
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License Number State | AL
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