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General NPI Number Information
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NPI Number | 1578163135
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Entity Type | Organization
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Legal Business Name | BL APOTHECARY
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Dates
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Enumeration Date | 10/31/2020
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 2739 W 5TH ST
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City | LUMBERTON
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State | NC
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Zip | 28358-7819
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Country | US
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Telephone | 910-258-6056
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Fax | 910-674-4653
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Provider Business Mailing Address
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Address Line | 2739 W 5TH ST STE B
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City | LUMBERTON
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State | NC
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Zip | 28358-7819
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Country | US
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Telephone | 910-258-6056
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Fax |
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Authorized Official
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Title or Position | PHARMACY OWNER/ STAFF PHARMACIST
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Name | DR. BRONSON L LOWERY
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Credential | PHARMD
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Telephone | 910-758-0115
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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 |
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License Number State |
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