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General NPI Number Information
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NPI Number | 1982776514
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Entity Type | Organization
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Legal Business Name | MEDICAP PHARMACY OF CATAWBA,LLC
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 10/05/2015
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Provider Practice Location Address
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Address Line | 201 2ND ST SW
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City | CATAWBA
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State | NC
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Zip | 28609-8811
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Country | US
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Telephone | 828-241-2422
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Fax | 828-241-9045
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Provider Business Mailing Address
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Address Line | 201 2ND AVE SW P.O. BOX 447
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City | CATAWBA
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State | NC
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Zip | 28609-0447
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Country | US
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Telephone | 828-241-2422
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Fax | 828-241-9810
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Authorized Official
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Title or Position | MANAGING R.PH./ PARTNER
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Name | JAMES B MOSER
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Credential |
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Telephone | 828-241-2422
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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 | 4246
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License Number State | NC
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