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NPI 1740352731

NPI 1740352731 : WILLIAM ALLEN ELKINS PHARM D. : THOMASVILLE, GA

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General NPI Number Information
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    NPI Number           |    1740352731
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    Entity Type          |    Individual 
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    Provider Name        |    WILLIAM ALLEN ELKINS PHARM D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/14/2006
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    Last Update Date     |    04/26/2018
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Provider Practice Location Address
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    Address Line         |    616 S BROAD ST 
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    City                 |    THOMASVILLE
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    State                |    GA
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    Zip                  |    31792-5551
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    Country              |    US
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    Telephone            |    229-223-7733
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1927 LAKE ARTHUR DR 
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    City                 |    CAIRO
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    State                |    GA
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    Zip                  |    39827-1036
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    Country              |    US
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    Telephone            |    229-327-6962
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    PS30206
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    17958
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    License Number State |    GA
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Taxonomy #3
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    RPH017958
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    License Number State |    GA
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