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General NPI Number Information
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NPI Number | 1245241801
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Entity Type | Organization
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Legal Business Name | CAROLINA COMPOUNDING CENTER INC
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 03/06/2017
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Provider Practice Location Address
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Address Line | 1208 PARKWAY DR STE B
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City | GOLDSBORO
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State | NC
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Zip | 27534-9432
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Country | US
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Telephone | 919-751-2600
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Fax | 919-751-2030
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Provider Business Mailing Address
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Address Line | 1208 PARKWAY DR STE B
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City | GOLDSBORO
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State | NC
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Zip | 27534-9432
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Country | US
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Telephone | 919-751-2600
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Fax | 919-751-2030
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Authorized Official
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Title or Position | PRESIDENT
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Name | GARY CAMP
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Credential | PHD
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Telephone | 919-751-2600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 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 #3
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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 #4
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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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Taxonomy #5
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number | 08123
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License Number State | NC
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