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General NPI Number Information
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NPI Number | 1831035880
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Entity Type | Organization
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Legal Business Name | BOONE'S PHARMACY INC
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Dates
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Enumeration Date | 04/23/2026
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Last Update Date | 04/23/2026
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Provider Practice Location Address
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Address Line | 1111 S CEDAR AVE
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City | DEMOPOLIS
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State | AL
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Zip | 36732-3309
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Country | US
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Telephone | 334-289-8989
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Fax |
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Provider Business Mailing Address
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Address Line | 951B US HIGHWAY 80 W
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City | DEMOPOLIS
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State | AL
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Zip | 36732-4102
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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 | OWNER
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Name | RAYMOND LEON BOONE
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Credential |
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Telephone | 334-289-8989
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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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