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General NPI Number Information
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NPI Number | 1316390818
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Entity Type | Organization
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Legal Business Name | PINNACLE INDEPENDENT RX, INC
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Dates
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Enumeration Date | 07/20/2016
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Last Update Date | 09/02/2016
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Provider Practice Location Address
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Address Line | 1402 N CANNON BLVD
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City | KANNAPOLIS
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State | NC
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Zip | 28083-2662
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Country | US
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Telephone | 704-933-7948
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Fax | 704-933-7958
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Provider Business Mailing Address
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Address Line | 1402 N CANNON BLVD
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City | KANNAPOLIS
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State | NC
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Zip | 28083-2662
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Country | US
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Telephone | 704-933-7948
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Fax | 704-933-7958
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Authorized Official
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Title or Position | PHARMACIST OWNER
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Name | DR. RYAN ARMSTRONG
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Credential | PHARMD
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Telephone | 704-933-7948
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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 | 12655
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License Number State | NC
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