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General NPI Number Information
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NPI Number | 1811548746
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Entity Type | Organization
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Legal Business Name | SCPG ALABAMA LLC
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Dates
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Enumeration Date | 09/23/2019
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 1508 MILITARY ST S
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City | HAMILTON
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State | AL
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Zip | 35570-5006
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Country | US
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Telephone | 205-921-7465
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Fax | 205-921-7896
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Provider Business Mailing Address
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Address Line | PO BOX 34407 PMB 53760
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City | LITTLE ROCK
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State | AR
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Zip | 72203-4407
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Country | US
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Telephone | 918-640-9270
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Fax | 205-921-1220
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Authorized Official
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Title or Position | PRESIDENT
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Name | UMAR FAROOQ
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Credential |
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Telephone | 501-392-8680
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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 |
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License Number State |
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