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NPI 1609958487

NPI 1609958487 : REEDS PHARMACY LLC : BERKELEY SPRINGS, WV

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General NPI Number Information
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    NPI Number           |    1609958487
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    Entity Type          |    Organization 
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    Legal Business Name  |    REEDS PHARMACY LLC 
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Dates
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    Enumeration Date     |    10/20/2006
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    Last Update Date     |    01/18/2017
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Provider Practice Location Address
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    Address Line         |    261 BERKMORE PL STE 1C
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    City                 |    BERKELEY SPRINGS
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    State                |    WV
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    Zip                  |    25411-6247
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    Country              |    US
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    Telephone            |    304-258-3800
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    Fax                  |    304-258-2670
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Provider Business Mailing Address
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    Address Line         |    261 BERKMORE PL STE 1C
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    City                 |    BERKELEY SPRINGS
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    State                |    WV
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    Zip                  |    25411-6247
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    Country              |    US
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    Telephone            |    304-258-3800
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    Fax                  |    304-258-2670
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     KEN  REED 
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    Credential           |    RPH
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    Telephone            |    304-258-3800
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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       |    SP0552297
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    License Number State |    WV
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