{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "LUCKY PENNY NC LLC",
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "56 FIREFLY RIDGE TRL",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MILLS RIVER",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "28759-0102",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "828-230-3715",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "200 SLOPE STREET",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BRYSON CITY",
"PracticeLocationAddressStateName": "NC",
"PracticeLocationAddressPostalCode": "28713",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "828-782-0092",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "11/29/2024",
"LastUpdateDate": "09/17/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KIRKPATRICK",
"AuthorizedOfficialFirstName": "ERIN",
"AuthorizedOfficialMiddleName": "DRISCOLL",
"AuthorizedOfficialTitle": "OWNER, PHARMACY MANAGER",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "828-510-8040",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}