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General NPI Number Information
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NPI Number | 1710867338
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Entity Type | Organization
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Legal Business Name | MEDSMART PHARMACY 5 LLC
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Dates
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Enumeration Date | 09/04/2025
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 7445 CLINTON RD
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City | STEDMAN
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State | NC
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Zip | 28391-8901
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Country | US
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Telephone | 910-323-4555
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Fax |
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Provider Business Mailing Address
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Address Line | 217 W BROAD ST
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City | SAINT PAULS
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State | NC
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Zip | 28384-1533
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Country | US
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Telephone | 910-865-4135
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSEPH WILLIAMS
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Credential | PHARMD
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Telephone | 910-865-4135
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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 |
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License Number State |
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