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General NPI Number Information
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NPI Number | 1619051448
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Entity Type | Organization
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Legal Business Name | GRIFFITH & FEIL DRUG, INC.
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 03/12/2008
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Provider Practice Location Address
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Address Line | 1405 CHESTNUT ST
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City | KENOVA
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State | WV
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Zip | 25530-1235
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Country | US
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Telephone | 304-453-2381
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Fax | 304-453-1205
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Provider Business Mailing Address
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Address Line | 1405 CHESTNUT ST
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City | KENOVA
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State | WV
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Zip | 25530-1235
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Country | US
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Telephone | 304-453-2381
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Fax | 304-453-1205
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Authorized Official
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Title or Position | BOOKKEEPER SECRETARY
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Name | MS. CAROL CISCO
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Credential |
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Telephone | 304-453-2381
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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 | SP0550104
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License Number State | WV
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