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General NPI Number Information
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NPI Number | 1609479955
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Entity Type | Organization
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Legal Business Name | INTEGRATED HEALTHCARE PHARMACY LLC
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Dates
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Enumeration Date | 11/19/2020
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 2419 GORDON SMITH DR
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City | MOBILE
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State | AL
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Zip | 36617-2318
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Country | US
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Telephone | 251-277-8733
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Fax | 251-277-8810
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Provider Business Mailing Address
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Address Line | 5750A SOUTHLAND DR
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City | MOBILE
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State | AL
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Zip | 36693-3316
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Country | US
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Telephone | 251-450-5901
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. J TUERK SCHLESINGER
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Credential |
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Telephone | 251-450-5901
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic 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 | 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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Taxonomy #3
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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