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General NPI Number Information
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NPI Number | 1396763751
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Entity Type | Organization
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Legal Business Name | PHARMACY PLUS INC.
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 03/29/2010
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Provider Practice Location Address
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Address Line | 2029 BOULEVARD
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City | COLONIAL HEIGHTS
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State | VA
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Zip | 23834-2309
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Country | US
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Telephone | 804-520-2400
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Fax | 804-526-7847
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Provider Business Mailing Address
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Address Line | 658 WHITE HORSE DR
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City | GREENVILLE
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State | NC
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Zip | 27834-7829
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Country | US
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Telephone | 252-752-2363
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Fax | 252-752-0358
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. JOHN H BAHLMAN JR.
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Credential | RPH
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Telephone | 804-520-2400
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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 | 0201002581
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License Number State | VA
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