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General NPI Number Information
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NPI Number | 1033402359
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Entity Type | Organization
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Legal Business Name | FAST & FRIENDLY PHARMACY LLC
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Dates
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Enumeration Date | 05/19/2011
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Last Update Date | 10/27/2014
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Provider Practice Location Address
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Address Line | 1513 HARRISON AVE STE 18
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City | ELKINS
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State | WV
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Zip | 26241-3356
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Country | US
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Telephone | 304-637-5646
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Fax | 304-637-5647
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Provider Business Mailing Address
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Address Line | PO BOX 621
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City | WESTON
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State | WV
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Zip | 26452-0621
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Country | US
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Telephone | 304-997-5803
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOHN METHENY
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Credential |
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Telephone | 304-997-5803
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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 | SP0552419
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License Number State | WV
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