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General NPI Number Information
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NPI Number | 1760990246
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Entity Type | Organization
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Legal Business Name | 2136 TOTAL PHARMACY LLC
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Dates
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Enumeration Date | 01/18/2018
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Last Update Date | 03/01/2019
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Provider Practice Location Address
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Address Line | 2136 CANDLER RD
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City | DECATUR
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State | GA
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Zip | 30032-5572
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Country | US
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Telephone | 678-337-8814
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Fax |
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Provider Business Mailing Address
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Address Line | 5460 HUNTINGTON MIST DR
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City | STONE MOUNTAIN
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State | GA
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Zip | 30087-3338
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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 | MEMBER
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Name | DR. APRIL HANG
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Credential | PHARM.D
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Telephone | 404-459-3108
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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 |
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License Number State |
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Taxonomy #2
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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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