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General NPI Number Information
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NPI Number | 1528301561
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Entity Type | Organization
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Legal Business Name | PINNACLE PHARMACY LLC
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Dates
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Enumeration Date | 03/28/2013
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Last Update Date | 10/29/2014
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Provider Practice Location Address
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Address Line | 113 RAINBOW INDUSTRIAL BLVD
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City | RAINBOW CITY
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State | AL
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Zip | 35906-8901
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Country | US
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Telephone | 256-467-6337
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Fax | 256-485-4543
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Provider Business Mailing Address
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Address Line | 3331 RAINBOW DR STE E
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City | RAINBOW CITY
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State | AL
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Zip | 35906-6264
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Country | US
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Telephone | 256-467-6337
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Fax | 256-485-4543
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Authorized Official
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Title or Position | OWNER
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Name | JAMI SHELNUTT
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Credential |
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Telephone | 256-613-3289
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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 | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 114058
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License Number State | AL
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