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General NPI Number Information
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NPI Number | 1851040711
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Entity Type | Individual
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Provider Name | ZACHARY CARTER MARTIN PHARMD, CPP
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Gender | Male
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Dates
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Enumeration Date | 03/19/2022
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 1401 MATTHEWS TOWNSHIP PKWY STE 110
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City | MATTHEWS
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State | NC
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Zip | 28105-5403
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Country | US
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Telephone | 704-264-3500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 60447
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City | CHARLOTTE
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State | NC
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Zip | 28260-0447
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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 |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 33320
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 700560
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License Number State | NC
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