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General NPI Number Information
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NPI Number | 1619022928
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Entity Type | Organization
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Legal Business Name | LADAS PHARMACY
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 06/14/2019
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Provider Practice Location Address
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Address Line | 1050 S BROAD ST
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City | MOBILE
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State | AL
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Zip | 36603-1038
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Country | US
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Telephone | 251-432-5601
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Fax | 251-441-0012
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Provider Business Mailing Address
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Address Line | 1050 S BROAD ST
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City | MOBILE
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State | AL
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Zip | 36603-1038
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Country | US
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Telephone | 251-432-5601
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Fax | 251-441-0012
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Authorized Official
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Title or Position | PHARMACIST
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Name | MR. HARRIET LOUIS LADAS
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Credential |
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Telephone | 251-432-5601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 105940
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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 | 105940
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License Number State | AL
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