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General NPI Number Information
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NPI Number | 1336326792
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Entity Type | Organization
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Legal Business Name | WELCH PHARMACY INC
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Dates
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Enumeration Date | 01/29/2008
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Last Update Date | 09/16/2016
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Provider Practice Location Address
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Address Line | 70 WYOMING ST
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City | WELCH
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State | WV
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Zip | 24801-2431
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Country | US
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Telephone | 304-436-4932
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Fax | 304-436-6307
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Provider Business Mailing Address
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Address Line | 70 WYOMING ST
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City | WELCH
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State | WV
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Zip | 24801-2431
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Country | US
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Telephone | 304-436-4932
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Fax | 304-436-6307
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Authorized Official
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Title or Position | PRESIDENT
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Name | SHAWN JENKINS
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Credential | RPH
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Telephone | 304-888-0818
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | SP0552370
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License Number State | WV
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