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General NPI Number Information
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NPI Number | 1639160732
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Entity Type | Organization
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Legal Business Name | HAYDEN FAMILY PHARMACY P C
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Dates
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Enumeration Date | 10/30/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 4086 STATE HIGHWAY 160
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City | HAYDEN
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State | AL
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Zip | 35079-6551
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Country | US
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Telephone | 205-590-1515
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Fax | 205-590-2525
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Provider Business Mailing Address
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Address Line | PO BOX 665
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City | HAYDEN
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State | AL
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Zip | 35079-0665
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Country | US
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Telephone | 205-590-1515
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Fax | 205-590-2525
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. JENNIFER METCALF
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Credential | R. PH.
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Telephone | 205-590-1515
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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 | 112598
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License Number State | AL
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