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General NPI Number Information
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NPI Number | 1588955942
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Entity Type | Organization
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Legal Business Name | RITE AID PHARMACY
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Dates
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Enumeration Date | 04/20/2011
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Last Update Date | 04/20/2011
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Provider Practice Location Address
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Address Line | 74 TANBARK PLAZA
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City | LOVINGSTON
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State | VA
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Zip | 22949
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Country | US
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Telephone | 434-263-4224
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Fax |
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Provider Business Mailing Address
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Address Line | 515 ADDIE WAY
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City | LYNCHBURG
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State | VA
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Zip | 24501-7298
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Country | US
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Telephone | 434-821-2616
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Fax |
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Authorized Official
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Title or Position | REGISTERED PHARMACIST
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Name | MR. AMANING KWARTENG AFRIFA
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Credential |
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Telephone | 434-263-4224
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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 | 0202204920
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License Number State | VA
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