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General NPI Number Information
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NPI Number | 1649352253
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Entity Type | Organization
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Legal Business Name | ALBERTVILLE DISCOUNT PHARMACY, INC.
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 07/05/2018
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Provider Practice Location Address
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Address Line | 422 N BROAD ST
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City | ALBERTVILLE
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State | AL
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Zip | 35950
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Country | US
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Telephone | 256-878-1515
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Fax | 256-891-3155
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Provider Business Mailing Address
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Address Line | 422 N BROAD ST
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City | ALBERTVILLE
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State | AL
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Zip | 35950-1761
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Country | US
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Telephone | 256-878-1515
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Fax | 256-891-3155
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Authorized Official
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Title or Position | AUTHORIZED OFFICAL
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Name | MR. BRETT B HULGAN
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Credential | RPH.
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Telephone | 256-878-1515
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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 | 7148
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License Number State | AL
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