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General NPI Number Information
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NPI Number | 1063516029
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Entity Type | Organization
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Legal Business Name | GIL-CO FAITH PHARMACY INC.
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Dates
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Enumeration Date | 09/12/2006
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 356 WV HIGHWAY 5 E
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City | GLENVILLE
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State | WV
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Zip | 26351-7602
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Country | US
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Telephone | 304-462-8300
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Fax | 304-462-0324
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Provider Business Mailing Address
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Address Line | 356 WV HIGHWAY 5 E
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City | GLENVILLE
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State | WV
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Zip | 26351-7602
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Country | US
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Telephone | 304-462-8300
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Fax | 304-462-0324
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Authorized Official
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Title or Position | SECRETARY
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Name | AIMEE HARTSHORN
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Credential | PHARMD
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Telephone | 304-462-8300
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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 | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | SP0552306
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License Number State | WV
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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