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General NPI Number Information
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NPI Number | 1891575007
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Entity Type | Organization
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Legal Business Name | WHITAKER DRUGS OPELIKA, LLC
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Dates
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Enumeration Date | 10/04/2023
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Last Update Date | 10/04/2023
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Provider Practice Location Address
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Address Line | 1437 FOX RUN PKWY
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City | OPELIKA
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State | AL
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Zip | 36801-5900
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Country | US
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Telephone | 334-787-9944
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Fax | 334-787-9946
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Provider Business Mailing Address
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Address Line | 45 NORRELL DR
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City | GREENVILLE
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State | AL
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Zip | 36037-6169
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Country | US
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Telephone | 334-559-8528
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMANDA WHITAKER
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Credential | PHARMD
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Telephone | 334-559-8528
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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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