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General NPI Number Information
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NPI Number | 1093813263
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Entity Type | Organization
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Legal Business Name | PHARMACY ASSOCIATES, INC
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 10/26/2007
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Provider Practice Location Address
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Address Line | 4501 MACCORKLE AVE SW STE 101
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City | SOUTH CHARLESTON
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State | WV
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Zip | 25309-1444
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Country | US
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Telephone | 800-815-7540
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Fax | 304-766-9301
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Provider Business Mailing Address
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Address Line | 4501 MACCORKLE AVE SW STE 101
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City | SOUTH CHARLESTON
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State | WV
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Zip | 25309-1444
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Country | US
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Telephone | 800-815-7540
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Fax | 304-766-9301
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Authorized Official
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Title or Position | SPECIALTY PHARMACY OPERATIONS MANAG
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Name | MRS. ANITA CHRISTINE ROBERTS
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Credential | CPHT
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Telephone | 304-529-2143
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 2007011092
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License Number State | WV
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