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General NPI Number Information
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NPI Number | 1659499184
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Entity Type | Organization
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Legal Business Name | ACKER RX LLC
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 08/11/2010
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Provider Practice Location Address
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Address Line | 69005 MAIN STREET
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City | BLOUNTSVILLE
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State | AL
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Zip | 35031
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Country | US
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Telephone | 205-429-3351
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Fax | 205-429-3226
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Provider Business Mailing Address
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Address Line | PO BOX 250
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City | BLOUNTSVILLE
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State | AL
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Zip | 35031-0250
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Country | US
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Telephone | 205-429-3351
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Fax | 205-429-3226
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Authorized Official
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Title or Position | OWNER
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Name | OLIVIA ACKER
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Credential | PHRMD
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Telephone | 205-429-3351
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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 | 113019
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License Number State | AL
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