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General NPI Number Information
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NPI Number | 1255348363
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Entity Type | Organization
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Legal Business Name | SCOTTIE PHARMACY INC
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 07/19/2021
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Provider Practice Location Address
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Address Line | 1951 2ND ST
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City | RICHLANDS
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State | VA
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Zip | 24641-2303
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Country | US
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Telephone | 276-963-0284
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Fax | 276-963-4465
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Provider Business Mailing Address
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Address Line | PO BOX 337
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City | RICHLANDS
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State | VA
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Zip | 24641-0337
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Country | US
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Telephone | 276-963-0284
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Fax | 276-963-4465
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | VIRGINIA KOSLOW
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Credential | PHARMD
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Telephone | 276-963-0284
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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 | 0201003542
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License Number State | VA
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