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General NPI Number Information
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NPI Number | 1841297314
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Entity Type | Organization
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Legal Business Name | GILCHRIST PHARMACY, INC.
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Dates
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Enumeration Date | 06/30/2005
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Last Update Date | 10/15/2018
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Provider Practice Location Address
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Address Line | 404 SPARKMAN ST NW
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City | HARTSELLE
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State | AL
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Zip | 35640-2326
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Country | US
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Telephone | 256-773-1998
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Fax | 256-751-0625
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Provider Business Mailing Address
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Address Line | 404 SPARKMAN ST NW
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City | HARTSELLE
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State | AL
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Zip | 35640-2326
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Country | US
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Telephone | 256-773-1998
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Fax | 256-751-0625
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL WAYNE PREUITT
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Credential |
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Telephone | 256-773-1998
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 523587
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License Number State | AL
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