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General NPI Number Information
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NPI Number | 1891829347
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Entity Type | Organization
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Legal Business Name | THE MEDICINE CABINET OF ALMA, LLC.
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 02/28/2020
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Provider Practice Location Address
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Address Line | 102 S PIERCE ST
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City | ALMA
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State | GA
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Zip | 31510-2999
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Country | US
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Telephone | 912-632-6337
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Fax | 912-632-6340
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Provider Business Mailing Address
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Address Line | 102 S PIERCE ST
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City | ALMA
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State | GA
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Zip | 31510-2999
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Country | US
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Telephone | 912-632-6337
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Fax | 912-632-6340
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Authorized Official
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Title or Position | OWNER
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Name | JON SCOTT MEEKS
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Credential |
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Telephone | 912-383-8510
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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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