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General NPI Number Information
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NPI Number | 1194870600
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Entity Type | Organization
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Legal Business Name | B B AND C PHARMACY INC
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 01/13/2014
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Provider Practice Location Address
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Address Line | 2200 N PINE ST
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City | LUMBERTON
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State | NC
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Zip | 28358-3940
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Country | US
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Telephone | 910-738-3757
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Fax | 910-671-9455
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Provider Business Mailing Address
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Address Line | 2200 N PINE ST
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City | LUMBERTON
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State | NC
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Zip | 28358-3940
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Country | US
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Telephone | 910-738-3757
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Fax | 910-671-9455
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Authorized Official
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Title or Position | OWNER AND PHARMACIST
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Name | DAVID BRADY
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Credential |
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Telephone | 910-738-3757
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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 | 5185
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License Number State | NC
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