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General NPI Number Information
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NPI Number | 1477145183
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Entity Type | Organization
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Legal Business Name | GD PHARMACY CONSULTING, LLC
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Dates
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Enumeration Date | 02/04/2021
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Last Update Date | 08/26/2021
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Provider Practice Location Address
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Address Line | 6401 PRETT CT
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City | CHARLOTTE
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State | NC
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Zip | 28270
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Country | US
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Telephone | 704-737-6614
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Fax |
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Provider Business Mailing Address
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Address Line | 7804C FAIRVIEW RD STE 164
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City | CHARLOTTE
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State | NC
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Zip | 28226-4945
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Country | US
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Telephone | 704-737-6614
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. GEORGIANNE G DOUGLAS
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Credential | PHARMD
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Telephone | 704-737-6614
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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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