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General NPI Number Information
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NPI Number | 1619060555
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Entity Type | Organization
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Legal Business Name | KINSTON CLINIC PHARMACY INC.
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 12/05/2023
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Provider Practice Location Address
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Address Line | 701 DOCTOR'S DRIVE SUITE P
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City | KINSTON
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State | NC
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Zip | 28501
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Country | US
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Telephone | 252-523-3187
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Fax | 252-522-2988
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Provider Business Mailing Address
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Address Line | 701 DOCTORS DR SUITE P
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City | KINSTON
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State | NC
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Zip | 28501-1589
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Country | US
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Telephone | 252-523-3187
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Fax | 252-522-2988
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Authorized Official
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Title or Position | PHARMACIST CO-OWNER
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Name | MR. DEMPSEY CRAIG HILL
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Credential | RPH
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Telephone | 252-523-3187
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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 | 03193
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License Number State | NC
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