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General NPI Number Information
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NPI Number | 1457232399
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Entity Type | Organization
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Legal Business Name | BLUESTONE PINNACLE PHARMACY
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Dates
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Enumeration Date | 09/09/2025
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 140 MAJESTIC PL
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City | BLUEWELL
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State | WV
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Zip | 24701-9170
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Country | US
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Telephone | 304-409-6510
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Fax |
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Provider Business Mailing Address
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Address Line | 3997 BECKLEY RD
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City | PRINCETON
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State | WV
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Zip | 24740-7660
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Country | US
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Telephone | 304-228-4233
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATIONS OFFICER
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Name | SUSAN ESTHER PLUMLEY
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Credential |
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Telephone | 304-431-5499
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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 |
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License Number State |
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