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General NPI Number Information
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NPI Number | 1639565989
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Entity Type | Organization
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Legal Business Name | HEALTH INNOVATIONS PHARMACY OF LAURINBURG INC
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Dates
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Enumeration Date | 04/14/2015
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Last Update Date | 03/14/2017
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Provider Practice Location Address
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Address Line | 901 S MAIN ST
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City | LAURINBURG
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State | NC
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Zip | 28352-4736
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Country | US
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Telephone | 910-361-4731
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Fax | 910-361-4732
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Provider Business Mailing Address
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Address Line | 901 S MAIN ST
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City | LAURINBURG
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State | NC
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Zip | 28352-4736
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Country | US
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Telephone | 910-361-4731
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Fax | 910-361-4732
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | DOUGLAS YONGUE
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Credential | BSPHAR
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Telephone | 910-361-4731
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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 | 12552
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License Number State | NC
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