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General NPI Number Information
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NPI Number | 1538757570
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Entity Type | Organization
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Legal Business Name | MANNINGTON PHARMACY
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Dates
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Enumeration Date | 01/05/2021
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 131 MARKET ST
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City | MANNINGTON
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State | WV
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Zip | 26582-1130
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Country | US
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Telephone | 304-986-3811
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Fax |
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Provider Business Mailing Address
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Address Line | 131 MARKET ST
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City | MANNINGTON
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State | WV
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Zip | 26582-1130
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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/OWNWE
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Name | JOHNNA S HARTER
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Credential |
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Telephone | 304-815-2165
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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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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