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General NPI Number Information
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NPI Number | 1801466370
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Entity Type | Organization
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Legal Business Name | DENVER PHARMACY
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Dates
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Enumeration Date | 06/28/2021
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Last Update Date | 07/01/2022
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Provider Practice Location Address
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Address Line | 3816 NC-16 BUSINESS
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City | DENVER
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State | NC
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Zip | 28037
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Country | US
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Telephone | 704-451-5051
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Fax |
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Provider Business Mailing Address
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Address Line | 3816 NC-16 BUSINESS
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City | DENVER
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State | NC
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Zip | 28037
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Country | US
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Telephone | 704-451-5051
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Fax |
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Authorized Official
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Title or Position | CO-CEO/ OWNER
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Name | JESIKA S PATEL
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Credential |
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Telephone | 704-451-3790
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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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Taxonomy #2
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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