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General NPI Number Information
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NPI Number | 1558539056
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Entity Type | Organization
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Legal Business Name | BEST VALUE MED CARE PHARMACY
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Dates
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Enumeration Date | 02/19/2008
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Last Update Date | 07/08/2010
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Provider Practice Location Address
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Address Line | 3309 BONNIES ALLEY
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City | FARMVILLE
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State | NC
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Zip | 27828
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Country | US
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Telephone | 252-753-2323
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Fax | 252-753-7394
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Provider Business Mailing Address
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Address Line | PO BOX 44
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City | FARMVILLE
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State | NC
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Zip | 27828-0044
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Country | US
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Telephone | 252-753-2323
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Fax | 252-753-7394
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Authorized Official
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Title or Position | OWNER
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Name | ROBERT CROCKER
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Credential |
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Telephone | 252-753-2323
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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 | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number | 09997
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License Number State | NC
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