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General NPI Number Information
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NPI Number | 1164785796
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Entity Type | Organization
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Legal Business Name | ZOO CITY DRUG, INC.
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Dates
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Enumeration Date | 06/19/2012
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Last Update Date | 06/19/2012
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Provider Practice Location Address
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Address Line | 1204 SHAMROCK RD
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City | ASHEBORO
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State | NC
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Zip | 27203-6947
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Country | US
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Telephone | 336-626-3784
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Fax |
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Provider Business Mailing Address
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Address Line | 600 W ACADEMY ST
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City | RANDLEMAN
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State | NC
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Zip | 27317-9748
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Country | US
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Telephone | 336-495-5100
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Fax | 336-495-5300
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL GRIFFIN
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Credential |
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Telephone | 336-495-5100
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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 | 11271
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License Number State | NC
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