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NPI Code Detail

MEDICARE: PENNY FOX

MEDICARE: PENNY FOX
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist13541NC

General Provider Information

NPI Number : 1265789408
Entity Type Code : Individual
Provider Name (Legal Business Name) : PENNY FOX
Provider Business Mailing Address
First Line : 753 S ARENDELL AVE
Second Line :
City : ZEBULON
State : NC
Zip : 27597-8205
Country : US
Telephone Number : 252-883-9723
Fax Number :
Provider Business Practice Location Address
First Line : 3621 SUNSET AVE
Second Line :
City : ROCKY MOUNT
State : NC
Zip : 27804-3411
Country : US
Telephone Number : 252-443-3138
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2012
Last Update Date : 08/07/2012

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Directions to “ PENNY FOX ” Practice Location

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