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General NPI Number Information
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NPI Number | 1851313829
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Entity Type | Organization
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Legal Business Name | FAMILY CARE PHARMACY
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2413 CRAWFORD RD
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City | PHENIX CITY
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State | AL
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Zip | 36867-3648
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Country | US
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Telephone | 334-298-2577
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Fax | 334-291-0190
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Provider Business Mailing Address
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Address Line | 2413 CRAWFORD RD
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City | PHENIX CITY
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State | AL
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Zip | 36867-3648
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Country | US
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Telephone | 334-298-2577
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Fax | 334-291-0190
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Authorized Official
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Title or Position | PHARMACIST/OWNER
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Name | MR. EARL GLENN SMITH
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Credential | R.PH.
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Telephone | 334-298-2577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 104605
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License Number State | AL
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