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General NPI Number Information
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NPI Number | 1912004847
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Entity Type | Organization
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Legal Business Name | GUITONS DRUG STORE
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 12/01/2016
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Provider Practice Location Address
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Address Line | 801 S MADISON ST
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City | WHITEVILLE
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State | NC
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Zip | 28472-4613
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Country | US
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Telephone | 910-642-4188
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Fax | 910-642-9003
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Provider Business Mailing Address
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Address Line | PO BOX 669
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City | WHITEVILLE
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State | NC
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Zip | 28472-0669
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Country | US
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Telephone | 910-642-4188
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Fax | 910-642-9003
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Authorized Official
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Title or Position | PHARMACY MNGR
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Name | ROBERT HEGE
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Credential |
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Telephone | 910-642-4188
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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 | 09457
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License Number State | NC
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