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General NPI Number Information
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NPI Number | 1821814344
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Entity Type | Organization
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Legal Business Name | COLD MOUNTAIN PHARMACY SERVICES L.L.C.
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Dates
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Enumeration Date | 11/30/2024
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Last Update Date | 11/30/2024
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Provider Practice Location Address
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Address Line | 3130 US 70 HWY
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City | BLACK MOUNTAIN
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State | NC
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Zip | 28711-9108
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Country | US
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Telephone | 828-669-9970
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Fax |
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Provider Business Mailing Address
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Address Line | 3130 US 70 HWY
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City | BLACK MOUNTAIN
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State | NC
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Zip | 28711-9108
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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 | MANAGER/MEMBER
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Name | TAYLOR C JONES
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Credential | PHARMD
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Telephone | 828-669-9970
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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