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General NPI Number Information
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NPI Number | 1699863431
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Entity Type | Organization
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Legal Business Name | WELLNESS HEALTH AND PHARMACEUTICALS
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3401 INDEPENDENCE DR STE 231
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City | BIRMINGHAM
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State | AL
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Zip | 35209-8326
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Country | US
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Telephone | 205-879-6551
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Fax | 205-871-2568
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Provider Business Mailing Address
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Address Line | 3401 INDEPENDENCE DR STE 231
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City | BIRMINGHAM
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State | AL
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Zip | 35209-8326
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Country | US
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Telephone | 205-879-6551
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Fax | 205-871-2568
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Authorized Official
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Title or Position | SUPERVISING PHARMACIST
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Name | MRS. MARY ANN DAVIS
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Credential | RPH
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Telephone | 205-879-6551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 110003
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License Number State | AL
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