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General NPI Number Information
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NPI Number | 1568877470
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Entity Type | Organization
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Legal Business Name | UNION DRUG, INC.
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Dates
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Enumeration Date | 06/30/2014
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Last Update Date | 02/03/2020
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Provider Practice Location Address
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Address Line | 310 CLOVERLEAF SQ BUILDING A SUITE 1
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City | BIG STONE GAP
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State | VA
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Zip | 24219-2752
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Country | US
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Telephone | 276-523-2100
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Fax | 276-523-2101
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Provider Business Mailing Address
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Address Line | 310 CLOVERLEAF SQ BUILDING A SUITE 1
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City | BIG STONE GAP
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State | VA
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Zip | 24219-2752
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Country | US
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Telephone | 276-523-2100
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Fax | 276-523-2101
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Authorized Official
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Title or Position | PHARMACIST
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Name | MARK L BLANTON
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Credential | RPH
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Telephone | 276-523-2100
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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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