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General NPI Number Information
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NPI Number | 1396832598
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Entity Type | Organization
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Legal Business Name | RANDLEMAN DRUG LLC
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Dates
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Enumeration Date | 10/07/2006
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Last Update Date | 01/07/2021
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Provider Practice Location Address
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Address Line | 600 W ACADEMY ST
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City | RANDLEMAN
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State | NC
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Zip | 27317-9748
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Country | US
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Telephone | 336-495-5100
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Fax | 336-495-5300
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Provider Business Mailing Address
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Address Line | 2593 GREY RABBIT RUN
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City | ASHEBORO
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State | NC
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Zip | 27205-8097
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Country | US
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Telephone | 336-963-3317
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Fax | 336-857-2932
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | MICHAEL GRIFFIN
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Credential | PHARMD
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Telephone | 336-963-3317
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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 | 08153
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License Number State | NC
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