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General NPI Number Information
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NPI Number | 1760523526
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Entity Type | Organization
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Legal Business Name | COUNTY OF WAKE
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 02/20/2026
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Provider Practice Location Address
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Address Line | 10 SUNNYBROOK RD # 107
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City | RALEIGH
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State | NC
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Zip | 27610-1808
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Country | US
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Telephone | 919-250-4418
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Fax | 919-743-4954
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Provider Business Mailing Address
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Address Line | PO BOX 14169
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City | RALEIGH
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State | NC
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Zip | 27620-4169
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Country | US
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Telephone | 919-250-4418
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Fax | 919-743-4954
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Authorized Official
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Title or Position | PHARMACY DIRECTOR
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Name | ANGELA JOHNSON
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Credential | PHARMD
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Telephone | 919-250-4419
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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 | 04812
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License Number State | NC
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