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General NPI Number Information
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NPI Number | 1902162548
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Entity Type | Organization
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Legal Business Name | APOTHECARY SALES INC
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Dates
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Enumeration Date | 04/09/2012
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Last Update Date | 02/24/2015
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Provider Practice Location Address
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Address Line | 3220 HIGHWAY 31 S STE A2
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City | DECATUR
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State | AL
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Zip | 35603-1731
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Country | US
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Telephone | 256-340-3700
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Fax | 256-340-3730
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Provider Business Mailing Address
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Address Line | PO BOX 5694
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City | DECATUR
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State | AL
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Zip | 35601-0694
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Country | US
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Telephone | 256-340-3700
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Fax | 256-340-3730
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Authorized Official
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Title or Position | SUPERVISING PHARMACIST
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Name | ALMEDA BORDEN
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Credential | PHARM D
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Telephone | 256-340-3700
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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 | PH 25603
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 27640
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 08975/7.1
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License Number State | MS
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Taxonomy #4
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 113687
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License Number State | AL
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