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General NPI Number Information
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NPI Number | 1275273690
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Entity Type | Organization
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Legal Business Name | GENERAL DRUG LLC
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Dates
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Enumeration Date | 04/01/2022
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 12044 WINFIELD RD
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City | WINFIELD
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State | WV
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Zip | 25213-7902
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Country | US
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Telephone | 304-767-5609
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Fax |
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Provider Business Mailing Address
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Address Line | 336 SYCAMORE RD
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City | HURRICANE
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State | WV
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Zip | 25526-5885
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Country | US
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Telephone | 304-767-5609
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Fax |
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Authorized Official
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Title or Position | PHARMACIST/OWNER
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Name | MATTHEW RYAN BROWN
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Credential | RPH
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Telephone | 304-767-5609
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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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