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General NPI Number Information
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NPI Number | 1538513346
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Entity Type | Organization
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Legal Business Name | RANDLEMAN PLAZA PHARMACY
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Dates
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Enumeration Date | 04/18/2016
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Last Update Date | 06/24/2016
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Provider Practice Location Address
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Address Line | 3230 RANDLEMAN RD STE C
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City | GREENSBORO
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State | NC
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Zip | 27406-6566
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Country | US
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Telephone | 336-763-6878
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Fax | 336-763-2789
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Provider Business Mailing Address
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Address Line | 3230 RANDLEMAN RD STE C
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City | GREENSBORO
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State | NC
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Zip | 27406-6566
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Country | US
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Telephone | 336-763-6878
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Fax | 336-763-2789
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | HUONG NI
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Credential |
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Telephone | 336-263-0603
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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 | 12954
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License Number State | NC
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