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General NPI Number Information
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NPI Number | 1407582729
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Entity Type | Organization
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Legal Business Name | PIONEER APCO LLC
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Dates
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Enumeration Date | 07/28/2022
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Last Update Date | 07/28/2022
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Provider Practice Location Address
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Address Line | 723 S VAN BUREN RD STE A
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City | EDEN
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State | NC
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Zip | 27288-5321
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Country | US
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Telephone | 336-285-7985
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Fax | 336-617-0781
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Provider Business Mailing Address
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Address Line | 1100 REVOLUTION MILL DR STE 10
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City | GREENSBORO
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State | NC
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Zip | 27405-5067
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Country | US
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Telephone | 336-285-7985
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Fax | 336-617-0781
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | JOHN RICHARD WHITE JR.
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Credential | PHARMD
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Telephone | 336-509-5751
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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 |
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License Number State |
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