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NPI Code Detail

MEDICARE: ABBIE BLAIR DIXON PHARMD

MEDICARE:   ABBIE BLAIR DIXON  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
1183500000XPharmacist17767AL

General Provider Information

NPI Number : 1952718199
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABBIE BLAIR DIXON PHARMD
Provider Business Mailing Address
First Line : PO BOX 677
Second Line :
City : MIDLAND CITY
State : AL
Zip : 36350-0677
Country : US
Telephone Number : 334-983-4191
Fax Number : 334-983-5178
Provider Business Practice Location Address
First Line : 15073 S US HIGHWAY 231
Second Line : MIDTOWN SHOPPING CENTER
City : MIDLAND CITY
State : AL
Zip : 36350-6305
Country : US
Telephone Number : 334-983-4191
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2014
Last Update Date : 07/21/2014

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Directions to “ ABBIE BLAIR DIXON PHARMD” Practice Location

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