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General NPI Number Information
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NPI Number | 1962595397
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Entity Type | Organization
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Legal Business Name | HICKORY FAMILY PHARMACY LLC.
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Dates
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Enumeration Date | 09/30/2006
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Last Update Date | 12/21/2016
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Provider Practice Location Address
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Address Line | 1501 TATE BLVD SE STE 102
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City | HICKORY
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State | NC
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Zip | 28602-1384
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Country | US
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Telephone | 828-324-4630
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Fax | 828-324-4675
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Provider Business Mailing Address
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Address Line | 1501 TATE BLVD SE STE 102
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City | HICKORY
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State | NC
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Zip | 28602-1384
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Country | US
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Telephone | 828-324-4630
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Fax | 828-324-4675
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Authorized Official
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Title or Position | PHARMACIST/ OWNER
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Name | MR. MAURICE GEORGE BATSHON
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Credential | RPH
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Telephone | 828-324-4630
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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 | 04183
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License Number State | NC
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