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General NPI Number Information
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NPI Number | 1619054376
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Entity Type | Organization
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Legal Business Name | THE PRESCRIPTION SHOP
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 409 N MONTGOMERY AVE
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City | SHEFFIELD
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State | AL
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Zip | 35660-2710
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Country | US
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Telephone | 256-383-7871
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Fax |
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Provider Business Mailing Address
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Address Line | 409 N MONTGOMERY AVE
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City | SHEFFIELD
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State | AL
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Zip | 35660-2710
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Country | US
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Telephone | 256-383-7871
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | MR. ROBERT L ATKINSON
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Credential | PH
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Telephone | 256-383-7871
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 4690
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License Number State | AL
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