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General NPI Number Information
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NPI Number | 1407153430
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Entity Type | Organization
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Legal Business Name | APPALACHIAN APOTHECARY INC
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Dates
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Enumeration Date | 02/28/2011
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 366 RUSS AVE
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City | WAYNESVILLE
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State | NC
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Zip | 28786-2905
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Country | US
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Telephone | 828-452-2313
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Fax | 828-452-5451
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Provider Business Mailing Address
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Address Line | 366 RUSS AVE
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City | WAYNESVILLE
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State | NC
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Zip | 28786-2905
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Country | US
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Telephone | 828-452-2313
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Fax | 828-452-5451
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Authorized Official
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Title or Position | PRESIDNET
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Name | KIMBERLY FERGUSON
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Credential | RPH
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Telephone | 828-452-2313
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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 | 9971
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License Number State | NC
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