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NPI Code Detail

MEDICARE: DR. LAURA ELLIOTT EADY RPH

MEDICARE: DR. LAURA ELLIOTT EADY RPH
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
1183500000XPharmacist13643AL

General Provider Information

NPI Number : 1699022368
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAURA ELLIOTT EADY RPH
Provider Business Mailing Address
First Line : 9824 GUERNSEY LN
Second Line :
City : TUSCALOOSA
State : AL
Zip : 35405-9756
Country : US
Telephone Number : 205-342-3320
Fax Number :
Provider Business Practice Location Address
First Line : 8701 HIGHWAY 69 S
Second Line :
City : TUSCALOOSA
State : AL
Zip : 35405-8465
Country : US
Telephone Number : 205-758-1684
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2012
Last Update Date : 08/13/2012

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