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General NPI Number Information
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NPI Number | 1316561806
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Entity Type | Organization
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Legal Business Name | VILLAGE PHARMACY OF HAMPSTEAD INC
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Dates
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Enumeration Date | 06/01/2020
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Last Update Date | 06/01/2020
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Provider Practice Location Address
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Address Line | 14057 HWY 17 SUITE 100
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City | HAMPSTEAD
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State | NC
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Zip | 28443-2844
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Country | US
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Telephone | 910-319-6050
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Fax | 910-319-6045
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Provider Business Mailing Address
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Address Line | 408 E CREEKVIEW DR
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City | HAMPSTEAD
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State | NC
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Zip | 28443-2140
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Country | US
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Telephone | 910-520-2248
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Fax | 910-821-0330
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Authorized Official
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Title or Position | PHARMACIST
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Name | DR. ELIZABETH MCBRAYER CAVENESS
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Credential | PHARMD
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Telephone | 910-520-2248
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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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