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General NPI Number Information
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NPI Number | 1659676948
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Entity Type | Organization
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Legal Business Name | FUTRELL PHARMACY SERVICE INC
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Dates
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Enumeration Date | 01/18/2011
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 119 W JEFFERSON ST
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City | JACKSON
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State | NC
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Zip | 27845-9599
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Country | US
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Telephone | 252-534-6001
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Fax | 252-534-1906
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Provider Business Mailing Address
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Address Line | PO BOX 768
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City | JACKSON
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State | NC
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Zip | 27845-0768
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Country | US
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Telephone | 252-534-6001
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Fax | 252-534-1906
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Authorized Official
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Title or Position | OWNER
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Name | WILLIAM R FUTRELL JR.
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Credential | PHARMD
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Telephone | 252-534-6001
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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 | 03288
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License Number State | NC
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