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General NPI Number Information
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NPI Number | 1992514269
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Entity Type | Organization
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Legal Business Name | THE WELL DISPENSARY, LLC
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Dates
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Enumeration Date | 01/02/2025
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 2855 S CHURCH ST
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City | BURLINGTON
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State | NC
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Zip | 27215-5168
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Country | US
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Telephone | 336-395-8181
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Fax |
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Provider Business Mailing Address
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Address Line | 2855 S CHURCH ST
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City | BURLINGTON
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State | NC
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Zip | 27215-5168
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Country | US
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Telephone | 336-395-8181
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Fax |
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | DR. MARQUITA A DODDS
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Credential | PHARMD
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Telephone | 336-880-3318
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding 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 | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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