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General NPI Number Information
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NPI Number | 1417684176
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Entity Type | Organization
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Legal Business Name | MEDICAL CENTER PHARMACY INC OF HICKORY
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Dates
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Enumeration Date | 08/03/2022
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Last Update Date | 08/16/2022
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Provider Practice Location Address
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Address Line | 126 N CENTER ST
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City | HICKORY
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State | NC
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Zip | 28601-6215
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Country | US
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Telephone | 828-322-7717
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Fax | 828-322-3803
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Provider Business Mailing Address
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Address Line | 126 N CENTER ST
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City | HICKORY
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State | NC
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Zip | 28601-6215
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Country | US
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Telephone | 828-322-7717
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Fax | 828-322-3803
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | JOAN M BASTON
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Credential |
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Telephone | 828-322-7717
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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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