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General NPI Number Information
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NPI Number | 1013576693
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Entity Type | Organization
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Legal Business Name | RX CLINIC PHARMACY, LLC
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Dates
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Enumeration Date | 06/07/2019
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Last Update Date | 07/25/2023
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Provider Practice Location Address
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Address Line | 10508 PARK RD STE 130
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City | CHARLOTTE
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State | NC
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Zip | 28210-8526
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Country | US
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Telephone | 704-519-2800
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Fax | 704-519-2801
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Provider Business Mailing Address
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Address Line | 10508 PARK RD STE 130
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City | CHARLOTTE
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State | NC
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Zip | 28210-8526
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Country | US
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Telephone | 704-519-2800
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Fax | 704-519-2801
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Authorized Official
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Title or Position | CEO
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Name | DR. AMINA ABUBAKAR
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Credential | PHARMD
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Telephone | 215-840-5510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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