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General NPI Number Information
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NPI Number | 1851723522
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Entity Type | Organization
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Legal Business Name | INTEGRATED CARE PHARMACIES, LLC
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Dates
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Enumeration Date | 08/05/2013
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Last Update Date | 08/27/2021
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Provider Practice Location Address
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Address Line | 202 MARKET STREET STE J
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City | CRAMERTON
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State | NC
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Zip | 28032-1151
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Country | US
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Telephone | 704-879-4010
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Fax | 704-879-4020
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Provider Business Mailing Address
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Address Line | 741 5TH ST. SW
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City | HICKORY
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State | NC
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Zip | 28602
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Country | US
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Telephone | 828-322-5915
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Fax | 828-345-0387
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Authorized Official
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Title or Position | OWNER / CEO
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Name | DR. COREY RICHARDSON
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Credential |
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Telephone | 828-322-5915
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 12144
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License Number State | NC
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