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NPI Code Detail

MEDICARE: DR. JOHN HIGGINBOTHAM PHARMD

MEDICARE: DR. JOHN HIGGINBOTHAM PHARMD
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
1183500000XPharmacist17008AL

General Provider Information

NPI Number : 1366785099
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN HIGGINBOTHAM PHARMD
Provider Business Mailing Address
First Line : 400 TAYLOR RD
Second Line :
City : MONTGOMERY
State : AL
Zip : 36117-3511
Country : US
Telephone Number : 334-747-9492
Fax Number :
Provider Business Practice Location Address
First Line : 400 TAYLOR RD
Second Line :
City : MONTGOMERY
State : AL
Zip : 36117-3511
Country : US
Telephone Number : 334-747-9492
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2013
Last Update Date : 08/14/2024

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