MEDICARE: DR. ALMA DEATON REDDING PHARM.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	16461	GA
2	183500000X	Pharmacist	16407	AL

General Provider Information

NPI Number	:	1225376981
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALMA DEATON REDDING PHARM.D.

Provider Business Mailing Address
First Line	:	1898 LEE ROAD 348
Second Line	:
City	:	SALEM
State	:	AL
Zip	:	36874-3968
Country	:	US
Telephone Number	:	706-577-5676
Fax Number	:

Provider Business Practice Location Address
First Line	:	1639 BRADLEY PARK DR
Second Line	:	STE 600
City	:	COLUMBUS
State	:	GA
Zip	:	31904-3620
Country	:	US
Telephone Number	:	706-577-5676
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2013
Last Update Date	:	01/30/2013

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