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General NPI Number Information
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NPI Number | 1669095527
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Entity Type | Organization
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Legal Business Name | MILLS SPECIALTY PHARMACY LLC
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Dates
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Enumeration Date | 05/26/2020
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Last Update Date | 06/15/2020
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Provider Practice Location Address
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Address Line | 2400 MOUNTAIN DR STE 104
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City | HOOVER
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State | AL
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Zip | 35226-1569
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Country | US
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Telephone | 205-871-9007
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Fax | 205-874-9946
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Provider Business Mailing Address
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Address Line | PO BOX 26679
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City | BIRMINGHAM
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State | AL
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Zip | 35260-0679
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Country | US
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Telephone | 205-871-9007
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Fax | 205-874-9946
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Authorized Official
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Title or Position | OWNER / CHIEF COMPLIANCE OFFICER
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Name | JOSH HARDIN
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Credential | PHARMD
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Telephone | 205-871-9007
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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