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General NPI Number Information
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NPI Number | 1518112200
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Entity Type | Organization
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Legal Business Name | SILER CITY PHARMACY LLC
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Dates
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Enumeration Date | 11/21/2008
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Last Update Date | 06/07/2018
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Provider Practice Location Address
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Address Line | 202 E RALEIGH ST
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City | SILER CITY
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State | NC
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Zip | 27344
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Country | US
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Telephone | 919-663-5541
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Fax |
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Provider Business Mailing Address
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Address Line | 202 E RALEIGH ST
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City | SILER CITY
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State | NC
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Zip | 27344-3416
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Country | US
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Telephone | 919-663-5541
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Fax |
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Authorized Official
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Title or Position | MEMBER-MANAGER
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Name | DR. ANGELYNN N FOX
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Credential | PHARMD
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Telephone | 919-663-5541
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 8420
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License Number State | NC
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