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General NPI Number Information
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NPI Number | 1730828971
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Entity Type | Organization
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Legal Business Name | HAWTHORNE DRUGS LLC
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Dates
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Enumeration Date | 06/03/2022
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Last Update Date | 08/24/2022
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Provider Practice Location Address
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Address Line | 11304 HAWTHORNE DR STE 120
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City | MINT HILL
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State | NC
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Zip | 28227-9467
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Country | US
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Telephone | 704-573-6899
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Fax | 888-832-7050
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Provider Business Mailing Address
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Address Line | 11304 HAWTHORNE DR STE 120
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City | MINT HILL
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State | NC
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Zip | 28227-9467
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Country | US
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Telephone | 704-573-6899
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Fax | 888-832-7050
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Authorized Official
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Title or Position | MANAGER
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Name | YASHASWINI KUNDOOR
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Credential |
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Telephone | 919-491-1484
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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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