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General NPI Number Information
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NPI Number | 1891850228
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Entity Type | Organization
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Legal Business Name | ALPHA DRUGS
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Dates
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Enumeration Date | 12/26/2006
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Last Update Date | 08/04/2008
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Provider Practice Location Address
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Address Line | 3723 SOUTHSIDE BLVD STE 6
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City | JACKSONVILLE
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State | FL
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Zip | 32216-4685
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Country | US
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Telephone | 904-996-1401
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Fax | 904-996-1401
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Provider Business Mailing Address
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Address Line | 3723 SOUTHSIDE BLVD STE 6
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City | JACKSONVILLE
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State | FL
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Zip | 32216-4685
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | TAJUSEFEN ALIMI
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Credential |
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Telephone | 813-610-5158
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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 | PH22400
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License Number State | FL
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