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General NPI Number Information
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NPI Number | 1952873861
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Entity Type | Organization
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Legal Business Name | DDP PHARMACY INC
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Dates
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Enumeration Date | 12/18/2018
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Last Update Date | 12/18/2018
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Provider Practice Location Address
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Address Line | 270 SMITH CHURCH RD
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City | ROANOKE RAPIDS
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State | NC
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Zip | 27870-4914
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Country | US
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Telephone | 252-410-1423
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Fax |
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Provider Business Mailing Address
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Address Line | 107 SMITH CHURCH RD ATTN: DRUGCO PHARMACY AT RHG
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City | ROANOKE RAPIDS
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State | NC
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Zip | 27870-4911
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Country | US
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Telephone | 252-519-1144
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Fax | 252-533-0620
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Authorized Official
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Title or Position | COO
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Name | ANDREW CHANDLER HUGGINS
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Credential | PHARMD
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Telephone | 252-519-1144
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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 |
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License Number State |
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