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NPI 1710929286

NPI 1710929286 : DUNN DISCOUNT DRUG INC : DUNN, NC

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General NPI Number Information
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    NPI Number           |    1710929286
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    Entity Type          |    Organization 
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    Legal Business Name  |    DUNN DISCOUNT DRUG INC 
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Dates
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    Enumeration Date     |    06/11/2006
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    Last Update Date     |    01/09/2013
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Provider Practice Location Address
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    Address Line         |    710 ERWIN RD 
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    City                 |    DUNN
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    State                |    NC
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    Zip                  |    28334-4522
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    Country              |    US
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    Telephone            |    910-892-8187
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    Fax                  |    910-892-4332
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Provider Business Mailing Address
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    Address Line         |    710 ERWIN RD 
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    City                 |    DUNN
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    State                |    NC
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    Zip                  |    28334-4522
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    Country              |    US
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    Telephone            |    910-892-8187
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    Fax                  |    910-892-4332
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Authorized Official
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    Title or Position    |    PHARMACY MANAGER
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    Name                 |     RONNIE  MYERS 
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    Credential           |    RPH
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    Telephone            |    910-892-8187
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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        |    3336C0003X
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    Taxonomy Name        |    Community/Retail Pharmacy
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    License Number       |    11019
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    License Number State |    NC
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