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General NPI Number Information
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NPI Number | 1508983305
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Entity Type | Individual
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Provider Name | PAMELA COLEY RICH PHARMD
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Gender | Female
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Dates
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Enumeration Date | 03/25/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 720 SUTTERS CREEK BLVD
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City | ROCKY MOUNT
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State | NC
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Zip | 27804-8429
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Country | US
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Telephone | 252-937-4701
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Fax | 252-937-1893
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Provider Business Mailing Address
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Address Line | 611 WESTERN AVE
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City | NASHVILLE
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State | NC
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Zip | 27856-1136
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Country | US
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Telephone | 252-937-4701
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Fax | 252-937-1893
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 18286
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License Number State | NC
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