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General NPI Number Information
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NPI Number | 1285953802
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Entity Type | Organization
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Legal Business Name | KERR DRUG
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Dates
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Enumeration Date | 05/21/2010
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Last Update Date | 05/21/2010
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Provider Practice Location Address
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Address Line | 1106 KINGOLD BLVD
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City | SNOW HILL
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State | NC
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Zip | 28580-1619
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Country | US
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Telephone | 252-747-6512
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Fax | 747-747-6515
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Provider Business Mailing Address
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Address Line | 1106 KINGOLD BLVD
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City | SNOW HILL
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State | NC
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Zip | 28580-1619
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Country | US
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Telephone | 252-747-6512
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Fax | 747-747-6515
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Authorized Official
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Title or Position | PHARMACIST
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Name | DR. ROSHNI HIREN PATEL
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Credential | PHARMD
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Telephone | 252-747-9189
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 18839
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License Number State | NC
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