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General NPI Number Information
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NPI Number | 1437505880
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Entity Type | Organization
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Legal Business Name | PHYSICIANS EAST PA
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Dates
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Enumeration Date | 05/04/2016
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Last Update Date | 09/15/2023
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Provider Practice Location Address
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Address Line | 1850 W ARLINGTON BLVD STE 100
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City | GREENVILLE
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State | NC
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Zip | 27834-5704
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Country | US
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Telephone | 252-413-6208
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Fax | 252-413-6211
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Provider Business Mailing Address
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Address Line | PO BOX 3488 DEPT #05-800 C/O PHARMAPOINT
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City | TUPELO
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State | MS
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Zip | 38803
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Country | US
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Telephone | 205-795-8800
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Fax | 205-795-8880
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | BLAKE LANCASTER
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Credential |
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Telephone | 205-795-8800
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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 | 12946
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License Number State | NC
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