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General NPI Number Information
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NPI Number | 1356723274
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Entity Type | Organization
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Legal Business Name | ROCKBRIDGE PHARMACY LLC
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Dates
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Enumeration Date | 06/27/2015
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Last Update Date | 11/24/2015
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Provider Practice Location Address
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Address Line | 146 S MAIN ST
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City | LEXINGTON
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State | VA
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Zip | 24450-2356
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Country | US
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Telephone | 540-463-4001
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Fax | 540-463-1119
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Provider Business Mailing Address
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Address Line | 146 S MAIN ST
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City | LEXINGTON
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State | VA
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Zip | 24450-2356
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Country | US
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Telephone | 540-463-4001
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Fax | 540-463-1119
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. MAMITA GURUNG
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Credential | R.PH
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Telephone | 571-438-3691
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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 | 0201004653
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License Number State | VA
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