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General NPI Number Information
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NPI Number | 1407996382
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Entity Type | Organization
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Legal Business Name | WARDENSVILLE PHARMACY LLC
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 17978 SR 55
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City | BAKER
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State | WV
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Zip | 26801
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Country | US
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Telephone | 304-897-8220
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Fax | 304-897-8210
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Provider Business Mailing Address
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Address Line | PO BOX 31
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City | BAKER
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State | WV
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Zip | 26801-0031
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER PHARMACIST
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Name | LISA WHETZEL
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Credential |
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Telephone | 304-874-3687
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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 | SP0552316
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License Number State | WV
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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 |
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License Number State |
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