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General NPI Number Information
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NPI Number | 1447359682
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Entity Type | Organization
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Legal Business Name | EDC DRUG STORES INC
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 08/03/2017
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Provider Practice Location Address
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Address Line | 251 NORTH MAIN STREET
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City | HOLLY SPRINGS
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State | NC
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Zip | 27540-9194
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Country | US
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Telephone | 919-557-5322
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Fax |
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Provider Business Mailing Address
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Address Line | 200 NEWBERRY COMMONS
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City | ETTERS
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State | PA
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Zip | 17319-9363
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Country | US
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Telephone | 717-761-2633
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Fax | 717-975-8659
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Authorized Official
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Title or Position | MANAGER ONLINE ADJUDICATION
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Name | JENNIFER M ZOREK
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Credential |
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Telephone | 717-975-5937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 8673
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License Number State | NC
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