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General NPI Number Information
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NPI Number | 1346679412
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Entity Type | Organization
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Legal Business Name | FRIENDLY PHARMACY, INC
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Dates
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Enumeration Date | 11/08/2013
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Last Update Date | 01/05/2021
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Provider Practice Location Address
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Address Line | 3712 LAWNDALE DR STE G
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City | GREENSBORO
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State | NC
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Zip | 27455-3066
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Country | US
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Telephone | 336-790-7343
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Fax |
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Provider Business Mailing Address
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Address Line | 3712 LAWNDALE DR STE G
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City | GREENSBORO
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State | NC
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Zip | 27455-3066
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | SHANA LEGGETT
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Credential |
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Telephone | 336-790-7343
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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 | 11675
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License Number State | NC
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