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General NPI Number Information
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NPI Number | 1760595573
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Entity Type | Organization
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Legal Business Name | MOREHEAD CITY DRUG CO
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 02/20/2015
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Provider Practice Location Address
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Address Line | 1404 LIVE OAK ST
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City | BEAUFORT
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State | NC
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Zip | 28516
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Country | US
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Telephone | 252-728-2006
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Fax | 252-728-4777
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Provider Business Mailing Address
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Address Line | 1704 ARENDELL ST
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City | MOREHEAD CITY
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State | NC
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Zip | 28557-4040
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Country | US
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Telephone | 252-726-2106
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Fax | 252-726-4457
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. WILLIAM ATON MATTHEWS JR.
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Credential |
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Telephone | 252-726-2106
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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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