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General NPI Number Information
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NPI Number | 1609157759
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Entity Type | Organization
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Legal Business Name | FAST & FRIENDLY PHARMACY RC LLC
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Dates
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Enumeration Date | 09/02/2011
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Last Update Date | 05/27/2022
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Provider Practice Location Address
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Address Line | 4 GARTON PLZ
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City | WESTON
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State | WV
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Zip | 26452-2129
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Country | US
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Telephone | 304-269-3737
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Fax | 304-269-3770
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Provider Business Mailing Address
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Address Line | PO BOX 621
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City | WESTON
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State | WV
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Zip | 26452-0621
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Country | US
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Telephone | 304-269-3737
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Fax | 304-269-3770
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Authorized Official
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Title or Position | PHARMACIST
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Name | JOHN L METHENY
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Credential | RPH
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Telephone | 304-269-3737
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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 | SP0552418
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License Number State | WV
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