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General NPI Number Information
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NPI Number | 1245367838
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Entity Type | Organization
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Legal Business Name | MADISON PHARMACY & GIFTS INC
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 02/14/2024
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Provider Practice Location Address
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Address Line | 4401 US HWY 25 70
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City | MARSHALL
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State | NC
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Zip | 28753
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Country | US
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Telephone | 828-649-1632
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Fax | 828-649-1613
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Provider Business Mailing Address
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Address Line | PO BOX 577
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City | MARSHALL
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State | NC
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Zip | 28753-0577
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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 | CYNTHIA NILES
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Credential |
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Telephone | 828-649-1632
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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 | 07873
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License Number State | NC
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