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General NPI Number Information
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NPI Number | 1053179382
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Entity Type | Organization
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Legal Business Name | GRETNA DRUG CO., INC.
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Dates
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Enumeration Date | 03/11/2024
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Last Update Date | 03/11/2024
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Provider Practice Location Address
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Address Line | 108 VADEN DR
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City | GRETNA
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State | VA
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Zip | 24557-4160
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Country | US
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Telephone | 434-656-1251
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Fax | 434-656-6003
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Provider Business Mailing Address
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Address Line | PO BOX 456
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City | GRETNA
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State | VA
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Zip | 24557-0456
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Country | US
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Telephone | 434-656-1251
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Fax | 434-656-6003
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Authorized Official
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Title or Position | PHARMACIST/OWNER
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Name | MR. HENRY CHAPMAN BROWN
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Credential | RPH
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Telephone | 434-656-1251
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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