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General NPI Number Information
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NPI Number | 1285883207
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Entity Type | Organization
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Legal Business Name | HEALTHFIRST PHARMACY OF WAKE FOREST,LLC
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Dates
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Enumeration Date | 09/15/2008
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Last Update Date | 09/15/2008
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Provider Practice Location Address
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Address Line | 2001 S MAIN ST
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City | WAKE FOREST
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State | NC
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Zip | 27587-1612
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Country | US
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Telephone | 919-569-0500
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Fax | 919-556-4288
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Provider Business Mailing Address
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Address Line | 2001 S MAIN ST
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City | WAKE FOREST
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State | NC
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Zip | 27587-1612
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Country | US
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Telephone | 919-569-0500
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Fax | 919-556-4288
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | LYNN HOLT
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Credential | RPH
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Telephone | 919-569-0500
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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 | 08879
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License Number State | NC
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