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NPI 1255336285

NPI 1255336285 : ZEBULON DRUG COMPANY INC : ZEBULON, NC

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General NPI Number Information
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    NPI Number           |    1255336285
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    Entity Type          |    Organization 
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    Legal Business Name  |    ZEBULON DRUG COMPANY INC 
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Dates
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    Enumeration Date     |    06/16/2005
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    Last Update Date     |    07/12/2023
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Provider Practice Location Address
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    Address Line         |    303 N ARENDELL AVE 
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    City                 |    ZEBULON
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    State                |    NC
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    Zip                  |    27597-2605
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    Country              |    US
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    Telephone            |    919-269-7481
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    Fax                  |    919-269-9998
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Provider Business Mailing Address
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    Address Line         |    303 N ARENDELL AVE 
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    City                 |    ZEBULON
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    State                |    NC
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    Zip                  |    27597-2605
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    Country              |    US
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    Telephone            |    919-269-7481
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    Fax                  |    919-269-9998
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     WALTON PRENTISS ONEAL III
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    Credential           |    PHARMD
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    Telephone            |    252-943-1913
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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       |    04655
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    License Number State |    NC
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Taxonomy #2
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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 #3
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    Taxonomy Code        |    3336C0003X
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    Taxonomy Name        |    Community/Retail Pharmacy
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    License Number       |    04655
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    License Number State |    NC
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