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General NPI Number Information
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NPI Number | 1609827906
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Entity Type | Organization
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Legal Business Name | BRYAN DRUGS INC
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 06/20/2016
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Provider Practice Location Address
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Address Line | 112 HOSPITAL DR
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City | TARBORO
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State | NC
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Zip | 27886-2012
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Country | US
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Telephone | 252-823-3178
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Fax | 252-823-8055
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Provider Business Mailing Address
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Address Line | 112 HOSPITAL DR
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City | TARBORO
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State | NC
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Zip | 27886-2012
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Country | US
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Telephone | 252-823-3178
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Fax | 252-823-8055
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Authorized Official
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Title or Position | PHARMACIST MANAGER
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Name | DONNA BARFIELD
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Credential | PHARMD
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Telephone | 252-823-3178
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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 | 04733
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License Number State | NC
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