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General NPI Number Information
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NPI Number | 1649515362
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Entity Type | Organization
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Legal Business Name | PIEDMONT PHARMACY SOLUTIONS, INC
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Dates
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Enumeration Date | 12/06/2012
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Last Update Date | 12/06/2012
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Provider Practice Location Address
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Address Line | 9040 NATIONS FORD RD
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City | CHARLOTTE
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State | NC
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Zip | 28273-5716
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Country | US
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Telephone | 704-971-9880
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Fax | 704-971-9881
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Provider Business Mailing Address
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Address Line | PO BOX 78317
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City | CHARLOTTE
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State | NC
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Zip | 28271-7030
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Country | US
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Telephone | 704-971-9880
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Fax | 704-971-9881
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. SONY A OBUSEH
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Credential |
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Telephone | 704-971-9880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | 10488
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number | 10488
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License Number State | NC
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