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Organization
PHYSICIAN RX SOURCE
Active
Organization
PHYSICIAN RX SOURCE
Active
Other names
Physician Rx Source
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY WILLIAMSON (OWNER RPH)
(256) 216-1514
Entity
Organization
Contact information
Practice address
118 W MARKET ST, ATHENS, AL 35611-2556
(256) 216-1514
(256) 216-1831
Mailing address
118 W MARKET ST, ATHENS, AL 35611-2556
(256) 216-1514
(256) 216-1831
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
113428
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0136778
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/28/2010
Last updated
04/25/2013
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