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General NPI Number Information
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NPI Number | 1740203413
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Entity Type | Organization
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Legal Business Name | GASTON ENTERPRISES INC
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 02/10/2021
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Provider Practice Location Address
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Address Line | 515 COX RD
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City | GASTONIA
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State | NC
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Zip | 28054-0628
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Country | US
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Telephone | 704-867-5343
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Fax | 704-864-1499
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Provider Business Mailing Address
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Address Line | 515 COX RD
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City | GASTONIA
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State | NC
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Zip | 28054-0628
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Country | US
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Telephone | 704-867-5343
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Fax | 704-864-1499
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Authorized Official
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Title or Position | MANAGER OWNER
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Name | DONALD THROWER
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Credential | RPH
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Telephone | 704-867-5343
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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 | 03679
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License Number State | NC
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