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General NPI Number Information
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NPI Number | 1629175567
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Entity Type | Organization
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Legal Business Name | COMMUNITY PHARMACY OF ALBEMARLE LLC
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 05/04/2015
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Provider Practice Location Address
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Address Line | 320 YADKIN ST
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City | ALBEMARLE
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State | NC
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Zip | 28001-3447
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Country | US
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Telephone | 704-982-9179
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Fax | 704-983-5557
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Provider Business Mailing Address
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Address Line | 320 YADKIN ST
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City | ALBEMARLE
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State | NC
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Zip | 28001-3447
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Country | US
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Telephone | 704-982-9179
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Fax | 704-983-5557
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | JAMES RICHARDS
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Credential |
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Telephone | 704-904-3287
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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 | 12563
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License Number State | NC
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