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General NPI Number Information
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NPI Number | 1801899463
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Entity Type | Organization
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Legal Business Name | PILCHER MCBRYDE DRUG COMPANY
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Dates
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Enumeration Date | 05/27/2005
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Last Update Date | 05/05/2023
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Provider Practice Location Address
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Address Line | 101 BROAD ST
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City | SELMA
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State | AL
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Zip | 36701-4606
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Country | US
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Telephone | 334-875-7208
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Fax | 334-875-2855
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Provider Business Mailing Address
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Address Line | PO BOX 1168
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City | SELMA
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State | AL
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Zip | 36702-1168
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Country | US
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Telephone | 334-875-7208
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Fax | 334-875-2855
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Authorized Official
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Title or Position | PRESIDENT/ CO-OWNER
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Name | DR. JAMES W. CREECH, JR.
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Credential | PHARM. D.
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Telephone | 334-875-7208
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | 107790
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 107790
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 107790
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License Number State | AL
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Taxonomy #4
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 107790
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License Number State | AL
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