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General NPI Number Information
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NPI Number | 1942231535
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Entity Type | Organization
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Legal Business Name | MEDICAL CENTER PHARMACY OF CHERRYVILLE INC
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 607 E ACADEMY ST
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City | CHERRYVILLE
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State | NC
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Zip | 28021
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Country | US
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Telephone | 704-435-3263
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Fax | 704-435-9499
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Provider Business Mailing Address
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Address Line | 607 E ACADEMY ST
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City | CHERRYVILLE
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State | NC
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Zip | 28021
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Country | US
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Telephone | 704-435-3263
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Fax | 704-435-9499
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MR. BRIAN DAVID KISER
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Credential | OFFICE MANAGER
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Telephone | 704-435-3263
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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 | 02151
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License Number State | NC
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