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General NPI Number Information
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NPI Number | 1033362421
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Entity Type | Organization
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Legal Business Name | NALLE PHARMACY INC
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Dates
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Enumeration Date | 10/29/2008
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1918 RANDOLPH RD SUITE 120
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City | CHARLOTTE
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State | NC
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Zip | 28207-1100
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Country | US
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Telephone | 704-342-8180
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Fax | 704-344-2243
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Provider Business Mailing Address
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Address Line | 1918 RANDOLPH RD SUITE 120
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City | CHARLOTTE
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State | NC
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Zip | 28207-1100
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Country | US
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Telephone | 704-342-8180
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Fax | 704-344-2243
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Authorized Official
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Title or Position | PHARMACIST
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Name | DR. LORI WILSON ULRICH
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Credential | PHARM.D.
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Telephone | 704-342-8180
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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 | 7565
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License Number State | NC
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