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General NPI Number Information
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NPI Number | 1295903656
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Entity Type | Organization
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Legal Business Name | TRI COUNTY COMMUNITY HEALTH COUNCIL INC
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Dates
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Enumeration Date | 02/19/2008
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Last Update Date | 01/29/2020
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Provider Practice Location Address
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Address Line | 16526 NC HIGHWAY 87 W
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City | TAR HEEL
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State | NC
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Zip | 28392-8608
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Country | US
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Telephone | 910-872-5720
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Fax | 910-872-3711
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Provider Business Mailing Address
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Address Line | 16526 NC HIGHWAY 87 W
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City | TAR HEEL
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State | NC
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Zip | 28392-8608
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Country | US
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Telephone | 910-872-5722
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Fax | 910-872-5711
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Authorized Official
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Title or Position | DIR OF PHARMACY
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Name | CHASITY HARGROVE
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Credential | PHARMD
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Telephone | 910-567-7119
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic 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 | 10010
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License Number State | NC
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