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General NPI Number Information
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NPI Number | 1316321672
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Entity Type | Organization
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Legal Business Name | CARE FIRST PHARMACY
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Dates
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Enumeration Date | 07/16/2015
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Last Update Date | 07/16/2015
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Provider Practice Location Address
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Address Line | 1401 S SCALES ST
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City | REIDSVILLE
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State | NC
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Zip | 27320-5634
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Country | US
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Telephone | 336-634-1555
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2502
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City | REIDSVILLE
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State | NC
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Zip | 27323-2502
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Country | US
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Telephone | 336-634-1555
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Fax |
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | DR. VERONICA M LEWIS
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Credential | PHARMD
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Telephone | 336-634-1555
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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 | 10335
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | NC
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