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General NPI Number Information
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NPI Number | 1730304353
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Entity Type | Organization
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Legal Business Name | GREGERSONS FOOD INC
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 05/05/2015
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Provider Practice Location Address
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Address Line | 278 N 3RD ST
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City | GADSDEN
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State | AL
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Zip | 35901-3201
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Country | US
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Telephone | 256-543-7777
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Fax | 256-546-1222
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Provider Business Mailing Address
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Address Line | PO BOX 1460
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City | GADSDEN
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State | AL
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Zip | 35902-1460
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Country | US
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Telephone | 256-543-1777
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Fax | 256-546-1222
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Authorized Official
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Title or Position | PRES
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Name | PETER GREGERSON
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Credential |
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Telephone | 256-549-0644
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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 | 104754
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License Number State | AL
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