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General NPI Number Information
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NPI Number | 1295291953
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Entity Type | Organization
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Legal Business Name | HOPE PHARMACY, INC.
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Dates
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Enumeration Date | 02/18/2019
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Last Update Date | 02/18/2019
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Provider Practice Location Address
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Address Line | 1330 N. 25TH STREET
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City | RICHMOND
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State | VA
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Zip | 23223
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Country | US
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Telephone | 804-537-0103
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Fax | 804-250-8499
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Provider Business Mailing Address
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Address Line | 1111 N 25TH ST
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City | RICHMOND
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State | VA
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Zip | 23223-5238
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Country | US
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Telephone | 804-814-5429
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER/OPERATOR
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Name | DR. SHANTELLE LEWIS BROWN
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Credential | PHARM.D.
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Telephone | 804-537-0103
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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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