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General NPI Number Information
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NPI Number | 1821387911
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Entity Type | Organization
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Legal Business Name | GUARDIAN PHARMACY OF EASTERN NC, LLC
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Dates
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Enumeration Date | 03/30/2011
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 4459 TARHEEL DR
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City | PINK HILL
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State | NC
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Zip | 28572-9649
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Country | US
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Telephone | 252-568-9945
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Fax | 866-928-3983
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Provider Business Mailing Address
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Address Line | DEPT # 2435 GUARDIAN PHARMACY OF EASTERN NC P.O. BOX 11407
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City | BIRMINGHAM
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State | AL
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Zip | 35246-0001
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Country | US
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Telephone | 404-810-0089
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Fax | 404-810-0094
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Authorized Official
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Title or Position | CO-PRESIDENT
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Name | CHAD TERRY
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Credential |
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Telephone | 866-768-8479
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding 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 | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 10966
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License Number State | NC
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