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General NPI Number Information
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NPI Number | 1821574682
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Entity Type | Organization
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Legal Business Name | CRX, INC.
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Dates
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Enumeration Date | 07/16/2018
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Last Update Date | 09/21/2018
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Provider Practice Location Address
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Address Line | 20 WHITEVILLE TOWN CTR
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City | WHITEVILLE
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State | NC
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Zip | 28472
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Country | US
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Telephone | 910-207-6369
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Fax | 910-445-0240
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Provider Business Mailing Address
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Address Line | 20 WHITEVILLE TOWN CTR
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City | WHITEVILLE
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State | NC
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Zip | 28472-4401
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Country | US
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Telephone | 910-207-6369
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Fax | 910-445-0240
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Authorized Official
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Title or Position | PHARMACIST/CO-OWNER
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Name | DR. MICKEY DEAN WORTHINGTON
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Credential | RPH
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Telephone | 910-207-1404
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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 | 13792
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License Number State | NC
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