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General NPI Number Information
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NPI Number | 1558459966
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Entity Type | Organization
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Legal Business Name | PILL BOX PHARMACY INC
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 12/17/2020
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Provider Practice Location Address
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Address Line | 474 HWY 67 SOUTH
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City | DECATUR
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State | AL
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Zip | 35603
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Country | US
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Telephone | 256-353-0100
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Fax | 256-353-0299
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Provider Business Mailing Address
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Address Line | 474 HWY 67 SOUTH
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City | DECATUR
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State | AL
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Zip | 35603
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Country | US
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Telephone | 256-353-0100
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Fax | 256-353-0299
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Authorized Official
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Title or Position | OWNER PHARMACIST
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Name | MR. RICKEY EDWIN CLAY
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Credential | RPH
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Telephone | 256-353-0100
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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 | 110436
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License Number State | AL
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