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General NPI Number Information
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NPI Number | 1730983933
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Entity Type | Organization
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Legal Business Name | ALLIANCE HEALTHCARE SERVICES BROAD PHARMACY
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Dates
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Enumeration Date | 04/04/2025
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 3200 BROAD AVE
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City | MEMPHIS
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State | TN
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Zip | 38112-3104
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Country | US
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Telephone | 901-577-9400
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Fax |
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Provider Business Mailing Address
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Address Line | 2220 UNION AVE
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City | MEMPHIS
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State | TN
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Zip | 38104-4315
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | SHAUNA SYKES
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Credential |
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Telephone | 901-577-9400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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