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General NPI Number Information
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NPI Number | 1578677563
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Entity Type | Organization
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Legal Business Name | TOWN & COUNTRY PHARMACY INC
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 01/12/2012
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Provider Practice Location Address
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Address Line | 22747 HWY 24 STE D
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City | MOULTON
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State | AL
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Zip | 35650
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Country | US
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Telephone | 256-905-0078
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Fax | 256-905-0049
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Provider Business Mailing Address
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Address Line | 22747 HWY 24 STE D
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City | MOULTON
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State | AL
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Zip | 35650
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Country | US
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Telephone | 256-905-0078
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Fax | 256-905-0049
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Authorized Official
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Title or Position | OWNER, SUPERVISING PHARMACIST
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Name | CHARLES JOINER
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Credential |
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Telephone | 256-905-0078
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 110780
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License Number State | AL
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