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General NPI Number Information
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NPI Number | 1316232416
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Entity Type | Organization
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Legal Business Name | HILLSBOROUGH PHARMACY & NUTRITION
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Dates
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Enumeration Date | 06/16/2011
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Last Update Date | 04/11/2017
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Provider Practice Location Address
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Address Line | 110 BOONE SQUARE ST STE 29
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City | HILLSBOROUGH
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State | NC
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Zip | 27278-2665
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Country | US
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Telephone | 919-245-1212
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Fax | 919-245-1210
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Provider Business Mailing Address
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Address Line | 110 BOONE SQUARE ST STE 29
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City | HILLSBOROUGH
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State | NC
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Zip | 27278-2665
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Country | US
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Telephone | 919-245-1212
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Fax | 919-245-1210
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Authorized Official
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Title or Position | PHARMACY MANAGER/OWNER
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Name | TIFFANY BARBER
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Credential | PHARMD
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Telephone | 919-245-1212
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 11064
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License Number State | NC
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