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General NPI Number Information
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NPI Number | 1497763098
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Entity Type | Organization
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Legal Business Name | SOUTHWESTERN VIRGINIA MENTAL HEALTH REGIONAL PHARMACY
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 08/22/2016
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Provider Practice Location Address
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Address Line | 160 TRAINING CENTER RD
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City | HILLSVILLE
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State | VA
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Zip | 24343-5149
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Country | US
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Telephone | 276-728-9081
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Fax | 276-728-4527
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Provider Business Mailing Address
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Address Line | PO BOX 1328
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City | HILLSVILLE
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State | VA
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Zip | 24343-7328
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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 | PHARMACIST IN CHARGE
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Name | MRS. PAULETTE SINNETT
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Credential | RPH
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Telephone | 276-728-9081
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 0201003426
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number | 0201003426
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License Number State | VA
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