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General NPI Number Information
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NPI Number | 1578667002
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Entity Type | Organization
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Legal Business Name | TYNER'S PHARMACY
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 5616 CHALKVILLE RD
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City | BIRMINGHAM
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State | AL
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Zip | 35235-2149
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Country | US
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Telephone | 205-856-3784
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Fax |
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Provider Business Mailing Address
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Address Line | 5616 CHALKVILLE RD
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City | BIRMINGHAM
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State | AL
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Zip | 35235-2149
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Country | US
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Telephone | 205-856-3784
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RANDALL L TYNER
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Credential | PHARMACIST
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Telephone | 205-856-3784
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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 | 10247
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License Number State | AL
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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 | 109833
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License Number State | AL
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