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General NPI Number Information
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NPI Number | 1568795516
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Entity Type | Organization
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Legal Business Name | PHYSICIANS PHARMACY ALLIANCE
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Dates
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Enumeration Date | 09/09/2009
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Last Update Date | 09/09/2009
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Provider Practice Location Address
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Address Line | 118 MACKENAN DR SUITE 200
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City | CARY
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State | NC
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Zip | 27511-3624
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Country | US
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Telephone | 919-463-5555
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Fax | 919-463-5566
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Provider Business Mailing Address
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Address Line | 118 MACKENAN DR SUITE 200
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City | CARY
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State | NC
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Zip | 27511-9928
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Country | US
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Telephone | 919-463-5555
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Fax | 919-463-5566
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Authorized Official
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Title or Position | VICE PRESIDENT OF PHARMACY OPERATIO
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Name | DR. ROBERT SHANNON RAWLS
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Credential | PHARM D
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Telephone | 919-463-5555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 08177
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License Number State | NC
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