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General NPI Number Information
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NPI Number | 1437647385
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Entity Type | Organization
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Legal Business Name | KINSTON CLINIC PHARMACY INC
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Dates
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Enumeration Date | 04/26/2018
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Last Update Date | 04/26/2018
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Provider Practice Location Address
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Address Line | 2717 NC HWY 11 SOUTH
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City | KINSTON
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State | NC
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Zip | 28504
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Country | US
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Telephone | 252-686-5295
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Fax | 252-686-5296
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Provider Business Mailing Address
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Address Line | 701 DOCTORS DR STE P
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City | KINSTON
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State | NC
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Zip | 28501-1584
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Country | US
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Telephone | 252-523-3187
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Fax | 252-522-2988
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Authorized Official
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Title or Position | VP/MANAGER
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Name | MATTHEW HILL
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Credential |
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Telephone | 252-523-3187
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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 | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 13743
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License Number State | NC
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