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General NPI Number Information
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NPI Number | 1043318918
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Entity Type | Organization
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Legal Business Name | STOKES PHARMACY, INC
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 07/24/2020
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Provider Practice Location Address
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Address Line | 533 S MAIN ST
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City | KING
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State | NC
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Zip | 27021-9015
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Country | US
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Telephone | 336-983-3118
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Fax | 336-983-2933
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Provider Business Mailing Address
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Address Line | PO BOX 446
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City | KING
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State | NC
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Zip | 27021-0446
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Country | US
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Telephone | 336-983-3118
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Fax |
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Authorized Official
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Title or Position | PHARMACIST/OWNER
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Name | COREY FULK
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Credential | PHARMD
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Telephone | 336-983-3118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 02239
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License Number State | NC
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