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General NPI Number Information
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NPI Number | 1780895748
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Entity Type | Organization
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Legal Business Name | PONDER PHARMACY, INC
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 29812 ALABAMA HIGHWAY 71
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City | BRYANT
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State | AL
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Zip | 35958
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Country | US
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Telephone | 256-597-4020
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Fax | 256-597-4077
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Provider Business Mailing Address
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Address Line | 29812 AL HIGHWAY 71
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City | BRYANT
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State | AL
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Zip | 35958-5240
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Country | US
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Telephone | 256-597-4020
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Fax | 256-597-4077
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Authorized Official
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Title or Position | PHARMD
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Name | JENNIFER PONDER HICKS
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Credential |
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Telephone | 256-597-4020
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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 | 112932
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License Number State | AL
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