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General NPI Number Information
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NPI Number | 1255758769
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Entity Type | Organization
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Legal Business Name | NC PHARMACY GROUP, LLC
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Dates
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Enumeration Date | 03/21/2014
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Last Update Date | 03/21/2014
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Provider Practice Location Address
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Address Line | 163 NASHVILLE COMMONS DR
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City | NASHVILLE
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State | NC
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Zip | 27856-1823
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Country | US
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Telephone | 252-677-5565
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Fax |
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Provider Business Mailing Address
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Address Line | 163 NASHVILLE COMMONS DR
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City | NASHVILLE
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State | NC
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Zip | 27856-1823
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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 | COO
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Name | ANDREW HUGGINS
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Credential | PHARMD
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Telephone | 252-519-1144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 11886
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License Number State | NC
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