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General NPI Number Information
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NPI Number | 1841332202
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Entity Type | Organization
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Legal Business Name | GREENSBORO PHARMACY, INC.
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 09/19/2024
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Provider Practice Location Address
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Address Line | 102 S MAIN ST
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City | GREENSBORO
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State | MD
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Zip | 21639-0490
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Country | US
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Telephone | 410-482-6256
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Fax | 410-482-2469
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Provider Business Mailing Address
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Address Line | 102 S MAIN ST PO BOX 490
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City | GREENSBORO
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State | MD
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Zip | 21639-0490
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Country | US
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Telephone | 410-482-6256
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Fax | 410-482-2469
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MICHELE TERESA CLOUGH
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Credential | RPH
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Telephone | 410-482-6256
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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 | P00353
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License Number State | MD
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