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General NPI Number Information
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NPI Number | 1316483472
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Entity Type | Organization
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Legal Business Name | HEALTH SAVER RX, LLC
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Dates
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Enumeration Date | 01/13/2017
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Last Update Date | 01/13/2017
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Provider Practice Location Address
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Address Line | 3809 BEAM ROAD SUITE H SUITE H
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City | CHARLOTTE
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State | NC
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Zip | 28217
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Country | US
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Telephone | 704-307-4580
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Fax | 704-631-9522
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Provider Business Mailing Address
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Address Line | 3809 BEAM ROAD SUITE H SUITE H
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City | CHARLOTTE
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State | NC
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Zip | 28217
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Country | US
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Telephone | 704-307-4580
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Fax | 704-631-9522
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Authorized Official
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Title or Position | PIC/AUTHORIZED SIGNATORY
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Name | JELANI DAVIS
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Credential |
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Telephone | 704-307-4580
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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 | 13147
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License Number State | NC
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