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General NPI Number Information
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NPI Number | 1346632825
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Entity Type | Organization
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Legal Business Name | FOSTER DRUG CO INC
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Dates
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Enumeration Date | 02/20/2015
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Last Update Date | 02/20/2015
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Provider Practice Location Address
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Address Line | 495 VALLEY RD
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City | MOCKSVILLE
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State | NC
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Zip | 27028-2074
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Country | US
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Telephone | 336-751-2141
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Fax | 336-751-7974
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Provider Business Mailing Address
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Address Line | 495 VALLEY RD
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City | MOCKSVILLE
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State | NC
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Zip | 27028-2074
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Country | US
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Telephone | 336-751-2141
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Fax | 336-751-7974
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Authorized Official
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Title or Position | CORPORATE SECRETARY/TREASURER
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Name | MRS. DIANNE CARTNER SMITH
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Credential |
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Telephone | 336-751-2141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 11125
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License Number State | NC
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