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General NPI Number Information
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NPI Number | 1386891141
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Entity Type | Organization
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Legal Business Name | HIGH POINT REGIONAL RETAIL PHARMACY
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Dates
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Enumeration Date | 08/25/2008
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Last Update Date | 01/11/2018
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Provider Practice Location Address
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Address Line | 601 N ELM ST
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City | HIGH POINT
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State | NC
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Zip | 27262-4331
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Country | US
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Telephone | 336-878-6599
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Fax | 336-878-6468
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Provider Business Mailing Address
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Address Line | 601 N ELM ST
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City | HIGH POINT
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State | NC
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Zip | 27262-4331
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Country | US
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Telephone | 336-878-6599
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Fax | 336-878-6468
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | WILLIAM BRYANT
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Credential |
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Telephone | 336-878-6143
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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 | 11513
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License Number State | NC
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