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General NPI Number Information
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NPI Number | 1164803698
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Entity Type | Organization
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Legal Business Name | AFFINITY SPECIALTY PHARMACY INC
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Dates
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Enumeration Date | 06/10/2015
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Last Update Date | 06/10/2015
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Provider Practice Location Address
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Address Line | 1070 TUNNEL RD BLDG 3
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City | ASHEVILLE
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State | NC
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Zip | 28805-2014
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Country | US
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Telephone | 828-298-3636
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Fax | 828-298-8190
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Provider Business Mailing Address
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Address Line | 1070 TUNNEL RD
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City | ASHEVILLE
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State | NC
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Zip | 28805-2014
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Country | US
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Telephone | 828-298-3636
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Fax | 828-298-8190
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | DR. BRADLEY WILLIAM MELSON
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Credential | PHARM.D.
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Telephone | 828-298-3636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty 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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number |
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License Number State |
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