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General NPI Number Information
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NPI Number | 1770544991
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Entity Type | Organization
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Legal Business Name | HUNTERS DRUG STORE
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Dates
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Enumeration Date | 03/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 102 N MAIN ST
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City | GREENSBORO
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State | GA
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Zip | 30642-1108
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Country | US
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Telephone | 706-453-7431
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Fax |
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Provider Business Mailing Address
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Address Line | 102 N MAIN ST
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City | GREENSBORO
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State | GA
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Zip | 30642-1108
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Country | US
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Telephone | 706-453-7431
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Fax |
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | FRED HUNTER
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Credential |
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Telephone | 706-453-2266
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 10587
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License Number State | GA
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