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General NPI Number Information
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NPI Number | 1215932082
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Entity Type | Organization
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Legal Business Name | CHAIR CITY PHARMACY INCORPORATED
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Dates
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Enumeration Date | 06/16/2005
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Last Update Date | 01/09/2013
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Provider Practice Location Address
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Address Line | 916 RANDOLPH ST STE C
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City | THOMASVILLE
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State | NC
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Zip | 27360-5729
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Country | US
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Telephone | 336-475-1888
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Fax |
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Provider Business Mailing Address
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Address Line | C/O STEPHEN CARSWELL 109 FINBOROUGH CT.
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City | KERNERSVILLE
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State | NC
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Zip | 27284-8382
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Country | US
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Telephone | 336-848-4439
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Fax |
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Authorized Official
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Title or Position | VP AND SECRETARY
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Name | RUEL FLEMING
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Credential |
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Telephone | 336-848-4439
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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 | 05268
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License Number State | NC
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