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General NPI Number Information
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NPI Number | 1578968806
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Entity Type | Organization
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Legal Business Name | PIEDMONT DRUG & HOME DELIVERY, LLC
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Dates
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Enumeration Date | 10/29/2014
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Last Update Date | 10/29/2014
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Provider Practice Location Address
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Address Line | 4620 WOODY MILL RD STE B
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City | GREENSBORO
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State | NC
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Zip | 27406-8779
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Country | US
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Telephone | 336-674-5518
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Fax | 336-674-5590
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Provider Business Mailing Address
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Address Line | 4620 WOODY MILL RD STE B
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City | GREENSBORO
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State | NC
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Zip | 27406-8779
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Country | US
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Telephone | 336-674-5518
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Fax | 336-674-5590
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Authorized Official
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Title or Position | CO-OWNER
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Name | MICHAEL ALAN BALL
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Credential | PHARMD
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Telephone | 336-674-5518
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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 | 10387
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License Number State | NC
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