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General NPI Number Information
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NPI Number | 1083713945
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Entity Type | Organization
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Legal Business Name | ROSE HILL PHARMACY
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 02/16/2017
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Provider Practice Location Address
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Address Line | 5462 DR THOMAS WALKER RD
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City | ROSE HILL
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State | VA
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Zip | 24281-8360
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Country | US
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Telephone | 276-445-5026
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Fax | 276-445-5029
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Provider Business Mailing Address
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Address Line | PO BOX 220
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City | ROSE HILL
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State | VA
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Zip | 24281-0220
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Country | US
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Telephone | 276-445-5026
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Fax | 276-445-5029
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Authorized Official
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Title or Position | PRESIDENT PIC OWNER
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Name | TRAVIS LAWSON
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Credential | PHARMD
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Telephone | 276-445-5026
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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 | 0201003914
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License Number State | VA
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