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NPI Code Detail

MEDICARE: MR. ANTONY DARIEN EASON RPH

MEDICARE: MR. ANTONY DARIEN EASON 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
1183500000XPharmacist11742NC

General Provider Information

NPI Number : 1689993420
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ANTONY DARIEN EASON RPH
Provider Business Mailing Address
First Line : 500 W CHURCH ST
Second Line :
City : CHERRYVILLE
State : NC
Zip : 28021-2812
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 500 W CHURCH ST
Second Line :
City : CHERRYVILLE
State : NC
Zip : 28021-2812
Country : US
Telephone Number : 704-435-5082
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2010
Last Update Date : 05/22/2010

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