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General NPI Number Information
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NPI Number | 1275069122
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Entity Type | Organization
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Legal Business Name | HARRISONBURG ROCKINGHAM FREE CLINIC
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 05/11/2017
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Provider Practice Location Address
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Address Line | 25 W WATER ST
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City | HARRISONBURG
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State | VA
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Zip | 22801-3624
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Country | US
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Telephone | 540-433-5431
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Fax | 540-574-0207
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Provider Business Mailing Address
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Address Line | 25 W WATER ST
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City | HARRISONBURG
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State | VA
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Zip | 22801-3624
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Country | US
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Telephone | 540-433-5431
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Fax | 540-574-0207
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | BRANDY PIERCE LOWERY
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Credential | PHARMD
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Telephone | 540-433-5431
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | 0201002981
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License Number State | VA
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