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General NPI Number Information
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NPI Number | 1891162954
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Entity Type | Organization
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Legal Business Name | SCOTT'S PHARMACY AND COMPOUNDING LAB
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Dates
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Enumeration Date | 08/25/2015
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Last Update Date | 08/25/2015
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Provider Practice Location Address
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Address Line | 2205 E OGLETHORPE BLVD
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City | ALBANY
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State | GA
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Zip | 31705-2939
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Country | US
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Telephone | 229-483-7908
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Fax |
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Provider Business Mailing Address
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Address Line | 2205 E OGLETHORPE BLVD
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City | ALBANY
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State | GA
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Zip | 31705-2939
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Country | US
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Telephone | 229-483-7908
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PAUL SCOTT
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Credential |
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Telephone | 706-224-2047
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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 | PHRE010170
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License Number State | GA
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