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General NPI Number Information
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NPI Number | 1215538764
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Entity Type | Organization
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Legal Business Name | JRJ WHITEVILLE, INC
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Dates
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Enumeration Date | 11/02/2020
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Last Update Date | 12/27/2021
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Provider Practice Location Address
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Address Line | 801 S MADISON ST
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City | WHITEVILLE
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State | NC
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Zip | 28472-4613
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Country | US
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Telephone | 910-642-4188
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Fax | 910-642-9003
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Provider Business Mailing Address
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Address Line | PO BOX 1984
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City | MOREHEAD CITY
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State | NC
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Zip | 28557-1984
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERT M WILLIAMS JR.
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Credential | RPH
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Telephone | 252-241-2626
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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 |
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License Number State |
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