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General NPI Number Information
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NPI Number | 1215302807
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Entity Type | Organization
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Legal Business Name | FOOTHILLS RX LLC
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Dates
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Enumeration Date | 12/08/2015
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Last Update Date | 05/11/2016
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Provider Practice Location Address
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Address Line | 910 TATE BLVD SE STE 111
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City | HICKORY
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State | NC
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Zip | 28602-4030
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Country | US
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Telephone | 828-855-9767
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Fax |
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Provider Business Mailing Address
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Address Line | 910 TATE BLVD SE SUITE 111
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City | HICKORY
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State | NC
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Zip | 28602-4030
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Country | US
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Telephone | 828-855-9767
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Fax |
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Authorized Official
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Title or Position | DIRECTOR / OWNER
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Name | ED SALYARDS
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Credential |
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Telephone | 828-855-9767
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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