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General NPI Number Information
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NPI Number | 1366088932
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Entity Type | Organization
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Legal Business Name | THOMAS DRUG STORE OF DUNN INC
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Dates
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Enumeration Date | 11/19/2019
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Last Update Date | 11/19/2019
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Provider Practice Location Address
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Address Line | 609 E CUMBERLAND ST
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City | DUNN
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State | NC
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Zip | 28334-5021
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Country | US
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Telephone | 910-892-2114
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Fax | 910-892-2114
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Provider Business Mailing Address
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Address Line | PO BOX 245
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City | DUNN
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State | NC
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Zip | 28335-0245
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Country | US
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Telephone | 910-892-2114
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Fax |
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Authorized Official
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Title or Position | OWNER/PHARMACY MANAGER
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Name | PAIGE THOMAS HOUSTON
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Credential | PHARM. D.
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Telephone | 910-892-2114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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