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General NPI Number Information
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NPI Number | 1922159888
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Entity Type | Organization
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Legal Business Name | RX LABOR INC.
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 12/09/2008
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Provider Practice Location Address
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Address Line | 112 E MAIN ST #A
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City | WILLIAMSTON
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State | NC
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Zip | 27892-2480
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Country | US
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Telephone | 252-792-7841
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Fax | 252-789-8401
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Provider Business Mailing Address
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Address Line | 112 E MAIN ST #A
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City | WILLIAMSTON
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State | NC
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Zip | 27892-2480
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Country | US
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Telephone | 252-792-7841
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Fax | 252-789-8401
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Authorized Official
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Title or Position | OWNER PHARMACIST
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Name | BARRY DONALD WESTER
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Credential | RPH
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Telephone | 252-792-7841
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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 | 08310
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 01464
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | 01464
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 01464
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License Number State | NC
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