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General NPI Number Information
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NPI Number | 1568425098
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Entity Type | Organization
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Legal Business Name | NORTHWOODS DRUG CO INC
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Dates
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Enumeration Date | 04/07/2006
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Last Update Date | 08/19/2010
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Provider Practice Location Address
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Address Line | 344 HENDERSON DR
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City | JACKSONVILLE
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State | NC
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Zip | 28540
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Country | US
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Telephone | 910-347-2141
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Fax | 910-347-5681
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Provider Business Mailing Address
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Address Line | 344 HENDERSON DR
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City | JACKSONVILLE
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State | NC
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Zip | 28540
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Country | US
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Telephone | 910-347-2141
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Fax | 910-347-5681
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GENE F HERRING
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Credential | RPH
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Telephone | 910-347-2141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 05202
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 03028
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License Number State | NC
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