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General NPI Number Information
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NPI Number | 1265453211
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Entity Type | Organization
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Legal Business Name | MERCALIS INC.
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 03/25/2024
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Provider Practice Location Address
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Address Line | 2250 PERIMETER PARK DR SUITE 300
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City | MORRISVILLE
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State | NC
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Zip | 27560-8892
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Country | US
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Telephone | 919-845-0774
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Fax |
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Provider Business Mailing Address
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Address Line | 2250 PERIMETER PARK DR SUITE 300
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City | MORRISVILLE
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State | NC
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Zip | 27560-8892
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Country | US
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Telephone | 919-845-0774
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | JACK MICHAEL MCGUIRE
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Credential | PHARMD
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Telephone | 877-343-1238
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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 | 09550
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License Number State | NC
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