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General NPI Number Information
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NPI Number | 1033935531
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Entity Type | Organization
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Legal Business Name | LUCKY PENNY NC LLC
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Dates
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Enumeration Date | 11/29/2024
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 200 SLOPE STREET
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City | BRYSON CITY
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State | NC
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Zip | 28713
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Country | US
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Telephone | 828-782-0092
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Fax |
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Provider Business Mailing Address
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Address Line | 56 FIREFLY RIDGE TRL
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City | MILLS RIVER
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State | NC
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Zip | 28759-0102
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Country | US
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Telephone | 828-230-3715
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Fax |
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Authorized Official
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Title or Position | OWNER, PHARMACY MANAGER
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Name | ERIN DRISCOLL KIRKPATRICK
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Credential |
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Telephone | 828-510-8040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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