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General NPI Number Information
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NPI Number | 1053533810
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Entity Type | Organization
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Legal Business Name | TRIANGLE COMPOUNDING PHARMACY INC
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 12/23/2016
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Provider Practice Location Address
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Address Line | 3700 REGENCY PKWY STE 140
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City | CARY
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State | NC
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Zip | 27518-8696
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Country | US
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Telephone | 919-858-0809
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Fax | 919-858-5145
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Provider Business Mailing Address
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Address Line | 3700 REGENCY PARKWAY STE 140
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City | CARY
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State | NC
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Zip | 27518-7412
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Country | US
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Telephone | 919-858-0809
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Fax | 919-858-5145
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANNY MACK BARNES
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Credential | PHARMD
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Telephone | 919-858-0809
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 15485
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License Number State | NC
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