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NPI 1790882637

NPI 1790882637 : DELS DISCOUNT PHARMACY : JACKSONVILLE, NC

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General NPI Number Information
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    NPI Number           |    1790882637
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    Entity Type          |    Organization 
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    Legal Business Name  |    DELS DISCOUNT PHARMACY 
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Dates
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    Enumeration Date     |    09/20/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    3060 RICHLANDS HWY 
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    City                 |    JACKSONVILLE
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    State                |    NC
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    Zip                  |    28540-2972
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    Country              |    US
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    Telephone            |    910-347-2888
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3060 RICHLANDS HWY 
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    City                 |    JACKSONVILLE
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    State                |    NC
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    Zip                  |    28540-2972
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MGR/PHARM
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    Name                 |     RONALD  DELCASTILHO 
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    Credential           |    RPH
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    Telephone            |    910-347-2888
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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       |    04322
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    License Number State |    NC
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Taxonomy #2
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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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Taxonomy #3
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    Taxonomy Code        |    3336I0012X
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    Taxonomy Name        |    Institutional Pharmacy
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    License Number       |    
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    License Number State |    
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