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General NPI Number Information
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NPI Number | 1104396258
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Entity Type | Organization
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Legal Business Name | BL APOTHECARY
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Dates
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Enumeration Date | 12/03/2018
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 229 S MAIN ST
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City | RED SPRINGS
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State | NC
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Zip | 28377-1621
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Country | US
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Telephone | 910-359-8009
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Fax | 910-227-2397
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Provider Business Mailing Address
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Address Line | 229 S MAIN ST
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City | RED SPRINGS
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State | NC
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Zip | 28377-1621
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Country | US
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Telephone | 910-359-8009
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Fax | 910-227-2397
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Authorized Official
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Title or Position | OWNER/PIC
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Name | DR. BRONSON LEE LOWERY
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Credential | PHARMD
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Telephone | 910-359-8009
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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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