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General NPI Number Information
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NPI Number | 1831286053
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Entity Type | Organization
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Legal Business Name | WIREGRASS DRUGS INC
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Dates
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Enumeration Date | 10/09/2006
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Last Update Date | 02/27/2023
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Provider Practice Location Address
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Address Line | 81 N COURT SQ
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City | TROY
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State | AL
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Zip | 36081-2607
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Country | US
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Telephone | 334-566-0100
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Fax | 334-566-0869
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Provider Business Mailing Address
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Address Line | 81 N COURT SQ
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City | TROY
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State | AL
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Zip | 36081-2607
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Country | US
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Telephone | 334-566-0100
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Fax | 334-566-0869
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Authorized Official
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Title or Position | OWNER
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Name | THOMAS SHARPE
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Credential |
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Telephone | 229-435-4571
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 6656
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License Number State | AL
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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 | 102010
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License Number State | AL
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