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General NPI Number Information
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NPI Number | 1609985746
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Entity Type | Organization
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Legal Business Name | MCNABB PHARMACY
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 08/07/2012
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Provider Practice Location Address
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Address Line | 233 MAIN ST
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City | TOWNSEND
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State | MA
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Zip | 01469-1033
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Country | US
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Telephone | 978-597-2392
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Fax | 978-597-8731
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Provider Business Mailing Address
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Address Line | 233 MAIN ST
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City | TOWNSEND
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State | MA
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Zip | 01469-1033
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Country | US
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Telephone | 978-597-2392
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Fax | 978-597-8731
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Authorized Official
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Title or Position | OWNER
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Name | MR. TERRANCE MCNABB
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Credential | RPH
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Telephone | 978-597-2392
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 13899
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License Number State | MA
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