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General NPI Number Information
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NPI Number | 1508808270
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Entity Type | Organization
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Legal Business Name | ECHARD DRUG CO. INC.
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Dates
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Enumeration Date | 06/10/2006
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Last Update Date | 03/31/2008
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Provider Practice Location Address
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Address Line | 1500 GRAND CENTRAL AVE SUITE 116
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City | VIENNA
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State | WV
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Zip | 26105-1079
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Country | US
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Telephone | 304-295-2352
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Fax | 304-295-2353
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Provider Business Mailing Address
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Address Line | 1500 GRAND CENTRAL AVE SUITE 116
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City | VIENNA
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State | WV
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Zip | 26105-1079
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Country | US
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Telephone | 304-295-2352
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Fax | 304-295-2353
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Authorized Official
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Title or Position | PHARMACIST/OWNER
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Name | MR. MICHAEL T. ECHARD
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Credential | RPH.
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Telephone | 304-295-2352
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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 | SP0552333
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License Number State | WV
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