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General NPI Number Information
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NPI Number | 1841739877
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Entity Type | Organization
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Legal Business Name | TODDS PHARMACY OF GATES CO INC
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Dates
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Enumeration Date | 02/23/2017
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Last Update Date | 02/23/2017
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Provider Practice Location Address
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Address Line | 504 MAIN ST.
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City | GATESVILLE
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State | NC
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Zip | 27938
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Country | US
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Telephone | 252-357-1800
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Fax |
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Provider Business Mailing Address
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Address Line | 504 MAIN STREET
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City | GATESVILLE
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State | NC
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Zip | 27938
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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 | PHARMACIST MANAGER
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Name | HARLAN HURDLE
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Credential |
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Telephone | 252-357-1800
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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 | 8328
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License Number State | NC
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