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General NPI Number Information
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NPI Number | 1538257597
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Entity Type | Organization
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Legal Business Name | BB PHARMS, INC.
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 12/18/2009
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Provider Practice Location Address
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Address Line | 174 VIRGINIA AVE
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City | DALEVILLE
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State | AL
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Zip | 36322-2306
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Country | US
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Telephone | 334-503-9799
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Fax | 334-503-9919
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Provider Business Mailing Address
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Address Line | 174 VIRGINIA AVE
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City | DALEVILLE
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State | AL
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Zip | 36322-2306
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Country | US
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Telephone | 334-503-9799
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Fax | 334-503-9919
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Authorized Official
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Title or Position | PRESIDENT PHARMACIST
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Name | ROBERT J OLIVER
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Credential | RPH.
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Telephone | 334-503-9799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 10807
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License Number State | AL
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