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NPI 1588096986

NPI 1588096986 : ARLEN R. RASH JR. PHARMACIST : NORTH WILKESBORO, NC

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General NPI Number Information
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    NPI Number           |    1588096986
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    Entity Type          |    Individual 
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    Provider Name        |    ARLEN R. RASH JR. PHARMACIST
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/07/2013
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    Last Update Date     |    08/07/2013
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Provider Practice Location Address
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    Address Line         |    1370 W D ST (ATTN: ARLEN RASH)
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    City                 |    NORTH WILKESBORO
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    State                |    NC
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    Zip                  |    28659-3506
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    Country              |    US
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    Telephone            |    828-403-4564
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    Fax                  |    336-651-8574
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Provider Business Mailing Address
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    Address Line         |    116 KABE DR 
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    City                 |    HUDSON
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    State                |    NC
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    Zip                  |    28638-9293
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    Country              |    US
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    Telephone            |    828-403-4564
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    Fax                  |    336-651-8574
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    14485
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    1835P0018X
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    Taxonomy Name        |    Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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    License Number       |    14485
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    License Number State |    NC
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