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General NPI Number Information
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NPI Number | 1689048381
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Entity Type | Organization
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Legal Business Name | SELECT CARE PHARMACY LLC
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Dates
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Enumeration Date | 11/18/2015
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Last Update Date | 08/18/2020
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Provider Practice Location Address
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Address Line | 15 GLENN BRIDGE RD STE A
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City | ARDEN
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State | NC
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Zip | 28704-8481
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Country | US
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Telephone | 828-585-2034
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Fax | 855-782-5622
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Provider Business Mailing Address
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Address Line | 15 GLENN BRIDGE RD STE A
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City | ARDEN
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State | NC
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Zip | 28704-8481
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Country | US
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Telephone | 828-585-2034
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Fax | 855-782-5622
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Authorized Official
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Title or Position | PRESIDENT
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Name | DARIN CUNNINGHAM
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Credential |
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Telephone | 843-452-3891
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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 | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 12746
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License Number State | NC
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