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General NPI Number Information
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NPI Number | 1346544293
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Entity Type | Organization
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Legal Business Name | JOHNSON S FAMILY PHARMACY LLC
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Dates
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Enumeration Date | 01/07/2011
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Last Update Date | 01/26/2012
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Provider Practice Location Address
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Address Line | 7277 NC HIGHWAY 42 STE 208
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City | RALEIGH
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State | NC
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Zip | 27603-7528
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Country | US
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Telephone | 919-662-7550
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Fax | 919-662-5545
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Provider Business Mailing Address
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Address Line | 7277 NC HIGHWAY 42 STE 208
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City | RALEIGH
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State | NC
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Zip | 27603-7528
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Country | US
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Telephone | 919-662-7550
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Fax | 919-662-5545
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | MARY JOHNSON
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Credential |
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Telephone | 919-662-7550
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 10935
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License Number State | NC
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