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General NPI Number Information
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NPI Number | 1417040197
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Entity Type | Organization
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Legal Business Name | D & S PHARMACY INC
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 05/09/2011
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Provider Practice Location Address
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Address Line | 4712 HAMPTON BLVD
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City | NORFOLK
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State | VA
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Zip | 23508-1822
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Country | US
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Telephone | 757-489-4848
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Fax | 757-489-9227
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Provider Business Mailing Address
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Address Line | 4712 HAMPTON BLVD
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City | NORFOLK
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State | VA
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Zip | 23508
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Country | US
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Telephone | 757-489-4848
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Fax | 757-489-9227
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Authorized Official
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Title or Position | PRESIDENT/ PHARMACIST IN CHARGE
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Name | MR. DAVID J HALLA
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Credential | RPH
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Telephone | 757-489-4848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0201002700
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License Number State | VA
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