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General NPI Number Information
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NPI Number | 1508190430
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Entity Type | Organization
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Legal Business Name | CAROLINA DRUG OF RANDOLPH COUNTY LLC
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Dates
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Enumeration Date | 09/24/2009
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Last Update Date | 03/31/2016
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Provider Practice Location Address
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Address Line | 10102 UNIT S, SOUTH MAIN STREET
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City | ARCHDALE
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State | NC
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Zip | 27263
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Country | US
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Telephone | 336-431-4040
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Fax | 336-431-4030
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Provider Business Mailing Address
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Address Line | 10102 UNIT S, SOUTH MAIN STREET
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City | ARCHDALE
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State | NC
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Zip | 27263
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Country | US
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Telephone | 336-431-4040
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Fax | 336-431-4030
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Authorized Official
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Title or Position | PHARMACIST MANAGER
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Name | NANCY CARTER
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Credential | BS PHARMACY
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Telephone | 336-431-4040
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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 | 10347
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License Number State | NC
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