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General NPI Number Information
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NPI Number | 1518978170
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Entity Type | Organization
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Legal Business Name | BEAR DRUGS INC
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 04/04/2022
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Provider Practice Location Address
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Address Line | 5200 N CROATAN HWY STE 10 AND 11
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City | KITTY HAWK
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State | NC
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Zip | 27949-3990
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Country | US
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Telephone | 252-261-7999
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Fax | 252-261-3333
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Provider Business Mailing Address
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Address Line | PO BOX 988
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City | KITTY HAWK
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State | NC
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Zip | 27949-0988
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Country | US
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Telephone | 252-261-7999
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Fax | 252-261-3333
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEPHEN ARCHBELL
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Credential |
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Telephone | 252-261-7999
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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 | 04664
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License Number State | NC
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