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General NPI Number Information
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NPI Number | 1598041089
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Entity Type | Organization
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Legal Business Name | CALHOUN COMPOUNDING PHARMACY
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Dates
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Enumeration Date | 10/27/2011
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Last Update Date | 01/13/2017
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Provider Practice Location Address
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Address Line | 1525 GREENBRIER DEAR RD
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City | ANNISTON
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State | AL
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Zip | 36207-6705
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Country | US
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Telephone | 256-237-8139
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Fax |
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Provider Business Mailing Address
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Address Line | 1525 GREENBRIER DEAR RD
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City | ANNISTON
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State | AL
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Zip | 36207-6705
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Country | US
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Telephone | 256-237-8139
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | DONNIE CALHOUN
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Credential |
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Telephone | 256-237-8139
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number | 113822
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License Number State | AL
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