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General NPI Number Information
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NPI Number | 1255315909
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Entity Type | Organization
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Legal Business Name | LEE H JOHNSTON INC.
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Dates
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Enumeration Date | 12/05/2005
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Last Update Date | 09/23/2014
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Provider Practice Location Address
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Address Line | 100 PARK AVE
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City | SANFORD
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State | NC
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Zip | 27330-4027
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Country | US
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Telephone | 919-776-9715
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Fax | 919-775-1360
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Provider Business Mailing Address
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Address Line | 100 PARK AVE
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City | SANFORD
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State | NC
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Zip | 27330-4027
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Country | US
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Telephone | 919-776-9715
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Fax | 919-775-1360
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Authorized Official
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Title or Position | PRESIDENT/MANAGING PHARMACIST
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Name | WILLIAM S CAMERON
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Credential | RPH
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Telephone | 919-776-9715
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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 | 3476
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License Number State | NC
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