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General NPI Number Information
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NPI Number | 1992807234
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Entity Type | Organization
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Legal Business Name | COMMUNITY RX SOLUTIONS INC
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Dates
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Enumeration Date | 09/05/2006
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Last Update Date | 01/05/2010
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Provider Practice Location Address
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Address Line | 5009 BEATTIES FORD RD STE 106
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City | CHARLOTTE
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State | NC
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Zip | 28216-2859
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Country | US
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Telephone | 704-393-6345
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Fax | 704-393-6341
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Provider Business Mailing Address
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Address Line | 5009 BEATTIES FORD RD STE 106
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City | CHARLOTTE
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State | NC
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Zip | 28216-2859
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Country | US
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Telephone | 704-393-6345
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Fax | 704-393-6341
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Authorized Official
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Title or Position | PHARMACY MGR
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Name | LEOTIS BLOODWORTH
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Credential | PHARMD
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Telephone | 704-287-1974
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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 | 09377
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License Number State | NC
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