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General NPI Number Information
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NPI Number | 1659468676
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Entity Type | Organization
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Legal Business Name | PARKWAY PHARMACY SOUTH, LLC
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 04/24/2024
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Provider Practice Location Address
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Address Line | 606 N BRINDLEE MOUNTAIN PKWY
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City | ARAB
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State | AL
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Zip | 35016-1068
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Country | US
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Telephone | 256-586-4120
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Fax | 256-586-1135
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Provider Business Mailing Address
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Address Line | 606 N BRINDLEE MOUNTAIN PKWY
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City | ARAB
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State | AL
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Zip | 35016-1068
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Country | US
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Telephone | 256-586-4120
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Fax | 256-586-1135
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Authorized Official
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Title or Position | PHARMACIST/OWNER
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Name | TIMOTHY BRANDON BARCLIFT
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Credential |
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Telephone | 256-653-9622
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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 | 107502
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License Number State | AL
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