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General NPI Number Information
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NPI Number | 1740278167
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Entity Type | Organization
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Legal Business Name | CAROLINA APOTHECARY INC
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Dates
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Enumeration Date | 10/10/2005
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Last Update Date | 05/16/2008
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Provider Practice Location Address
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Address Line | 726 S SCALES ST
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City | REIDSVILLE
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State | NC
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Zip | 27320-5330
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Country | US
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Telephone | 336-342-0071
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Fax | 336-342-7660
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Provider Business Mailing Address
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Address Line | PO BOX 29
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City | REIDSVILLE
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State | NC
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Zip | 27323-0029
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Country | US
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Telephone | 336-342-0071
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Fax | 336-342-7660
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CHARLES ARNOLD BRITT
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Credential | R PH
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Telephone | 336-394-1100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 00954
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License Number State | NC
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