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General NPI Number Information
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NPI Number | 1083411748
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Entity Type | Organization
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Legal Business Name | BRISTOL PHARMACY, INC
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Dates
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Enumeration Date | 02/28/2025
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 2373 LEE HWY
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City | BRISTOL
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State | VA
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Zip | 24201-1605
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Country | US
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Telephone | 276-591-2501
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Fax |
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Provider Business Mailing Address
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Address Line | 21587 TRANBARGER RD
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City | BRISTOL
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State | VA
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Zip | 24202-2709
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Country | US
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Telephone | 276-345-6730
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Fax |
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Authorized Official
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Title or Position | OWNER/PIC
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Name | MIRANDA COLE
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Credential | PHARMD
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Telephone | 276-345-6730
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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 |
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License Number State |
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