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General NPI Number Information
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NPI Number | 1649325184
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Entity Type | Organization
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Legal Business Name | TARHEEL PHARMACY, INC
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 10/21/2010
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Provider Practice Location Address
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Address Line | 902 ROANOKE AVE
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City | ELIZABETH CITY
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State | NC
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Zip | 27909-5565
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Country | US
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Telephone | 252-384-1000
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Fax | 252-338-8140
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Provider Business Mailing Address
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Address Line | 902 ROANOKE AVE
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City | ELIZABETH CITY
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State | NC
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Zip | 27909-5565
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Country | US
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Telephone | 252-384-1000
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Fax | 252-338-8140
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Authorized Official
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Title or Position | OWNER
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Name | JAMES ROBERTSON
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Credential |
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Telephone | 252-384-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 07686
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License Number State | NC
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