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NPI 1093893240

NPI 1093893240 : UNITED PHARMACY GROUP INC : OCEANA, WV

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General NPI Number Information
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    NPI Number           |    1093893240
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    Entity Type          |    Organization 
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    Legal Business Name  |    UNITED PHARMACY GROUP INC 
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Dates
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    Enumeration Date     |    11/02/2006
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    Last Update Date     |    12/06/2012
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Provider Practice Location Address
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    Address Line         |    928 COOK PARKWAY 
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    City                 |    OCEANA
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    State                |    WV
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    Zip                  |    24870-1800
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    Country              |    US
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    Telephone            |    304-682-8289
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    Fax                  |    304-682-4070
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1800 
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    City                 |    OCEANA
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    State                |    WV
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    Zip                  |    24870-1800
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    Country              |    US
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    Telephone            |    304-682-8289
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    Fax                  |    304-682-4070
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Authorized Official
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    Title or Position    |    PHARMACIST IN CHARGE
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    Name                 |    MR. PATRICK ALLAN NEBLETT 
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    Credential           |    RPH
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    Telephone            |    304-682-8289
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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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