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General NPI Number Information
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NPI Number | 1528253945
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Entity Type | Organization
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Legal Business Name | KERR DRUG INC
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Dates
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Enumeration Date | 09/10/2007
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Last Update Date | 04/23/2008
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Provider Practice Location Address
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Address Line | 8995 UNIVERSITY BLVD
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City | NORTH CHARLESTON
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State | SC
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Zip | 29406-9116
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Country | US
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Telephone | 843-410-0701
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Fax | 843-410-0714
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Provider Business Mailing Address
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Address Line | PO BOX 75678
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City | CHARLOTTE
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State | NC
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Zip | 28275-0678
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIR OF PHCY ADMIN
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Name | GRAY STEWART
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Credential |
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Telephone | 919-544-3896
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 509611
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License Number State | SC
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