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NPI 1760561179

NPI 1760561179 : BELMONT'S DRUG STORE, INC. : BELMONT, NC

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General NPI Number Information
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    NPI Number           |    1760561179
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    Entity Type          |    Organization 
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    Legal Business Name  |    BELMONT'S DRUG STORE, INC. 
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Dates
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    Enumeration Date     |    11/04/2006
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    Last Update Date     |    03/07/2023
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Provider Practice Location Address
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    Address Line         |    403 CATAWBA ST SUITE 100
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    City                 |    BELMONT
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    State                |    NC
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    Zip                  |    28012-3311
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    Country              |    US
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    Telephone            |    704-829-9897
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    Fax                  |    704-829-7857
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Provider Business Mailing Address
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    Address Line         |    403 CATAWBA ST SUITE 100
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    City                 |    BELMONT
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    State                |    NC
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    Zip                  |    28012-3311
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    Country              |    US
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    Telephone            |    704-829-9897
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    Fax                  |    704-829-7857
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. MATTHEW KENLEY MORGAN 
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    Credential           |    RPH
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    Telephone            |    704-829-9897
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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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