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General NPI Number Information
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NPI Number | 1093876559
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Entity Type | Organization
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Legal Business Name | O & B PHARMACY INC
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 11/09/2020
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Provider Practice Location Address
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Address Line | 7016 LEE PARK RD STE 400
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City | MECHANICSVILLE
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State | VA
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Zip | 23111-3682
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Country | US
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Telephone | 804-730-9200
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Fax | 804-730-0029
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Provider Business Mailing Address
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Address Line | 7016 LEE PARK RD # 400
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City | MECHANICSVILLE
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State | VA
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Zip | 23111-3682
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Country | US
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Telephone | 804-730-9200
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Fax | 804-730-0029
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Authorized Official
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Title or Position | PIC
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Name | DEEP SAWHNEY
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Credential |
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Telephone | 804-730-9200
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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 | 0201002982
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License Number State | VA
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