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General NPI Number Information
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NPI Number | 1538467691
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Entity Type | Organization
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Legal Business Name | REDTOP PHARMACY LLC
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Dates
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Enumeration Date | 03/14/2011
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Last Update Date | 03/23/2011
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Provider Practice Location Address
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Address Line | 1566A ANDREWS AVE
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City | OZARK
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State | AL
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Zip | 36360-3718
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Country | US
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Telephone | 334-443-3784
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Fax | 334-443-0181
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Provider Business Mailing Address
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Address Line | 1566A ANDREWS AVE
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City | OZARK
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State | AL
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Zip | 36360-3718
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Country | US
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Telephone | 334-443-3784
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Fax | 334-443-0181
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Authorized Official
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Title or Position | PHARMACIST
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Name | RICHARD STRICKLAND
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Credential |
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Telephone | 334-443-3784
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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 | 113649
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License Number State | AL
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