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General NPI Number Information
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NPI Number | 1528174034
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Entity Type | Organization
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Legal Business Name | PHARMACEUTICAL ASSOCIATES INC .
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 505 W LEIGH ST SUITE #101
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City | RICHMOND
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State | VA
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Zip | 23220-3200
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Country | US
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Telephone | 804-783-6020
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Fax | 804-225-7322
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Provider Business Mailing Address
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Address Line | 505 W LEIGH ST SUITE #101
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City | RICHMOND
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State | VA
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Zip | 23220-3200
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Country | US
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Telephone | 804-783-6020
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Fax | 804-225-7322
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Authorized Official
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Title or Position | PRESIDENT/PHARMACIST
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Name | MR. MICHAEL EVERETT ELLIOTT
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Credential | RPH
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Telephone | 804-783-6020
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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 | 0201002369
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License Number State | VA
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