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General NPI Number Information
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NPI Number | 1588292189
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Entity Type | Organization
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Legal Business Name | FAMILY PHARMACY INC
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Dates
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Enumeration Date | 03/30/2020
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Last Update Date | 03/30/2020
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Provider Practice Location Address
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Address Line | 146 VILLAGE LN
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City | WEDOWEE
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State | AL
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Zip | 36278-4585
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Country | US
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Telephone | 256-357-4614
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Fax |
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Provider Business Mailing Address
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Address Line | 610 QUINTARD DR
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City | OXFORD
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State | AL
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Zip | 36203-1840
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Country | US
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Telephone | 256-831-6116
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTOPHER C MARTIN
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Credential |
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Telephone | 256-831-6116
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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 |
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License Number State |
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