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General NPI Number Information
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NPI Number | 1427139716
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Entity Type | Organization
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Legal Business Name | HARNESS HEALTH PHARMACY - VIRGINIA LLC
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 5801 BREMO RD FIRST FLOOR
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City | RICHMOND
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State | VA
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Zip | 23226
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Country | US
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Telephone | 804-281-8425
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Fax | 804-287-7009
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Provider Business Mailing Address
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Address Line | 5801 BREMO RD FL 1
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City | RICHMOND
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State | VA
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Zip | 23226-1907
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Country | US
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Telephone | 804-281-8425
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Fax | 804-287-7009
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Authorized Official
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Title or Position | VP REIMBURSEMENT
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Name | KIMBERLY M RALSTON
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Credential |
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Telephone | 419-996-5119
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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 | 0201003011
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License Number State | VA
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