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General NPI Number Information
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NPI Number | 1629167317
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Entity Type | Organization
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Legal Business Name | SOUTH HILL DRUG COMPANY INC
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 05/14/2015
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Provider Practice Location Address
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Address Line | 1016 W ATLANTIC ST
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City | SOUTH HILL
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State | VA
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Zip | 23970-1702
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Country | US
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Telephone | 434-447-8720
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Fax | 434-447-2708
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Provider Business Mailing Address
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Address Line | 1016 W ATLANTIC ST
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City | SOUTH HILL
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State | VA
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Zip | 23970-1702
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Country | US
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Telephone | 434-447-8720
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Fax | 434-447-2708
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Authorized Official
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Title or Position | PRES/PHARM
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Name | VICKIE HAYES
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Credential | RPH
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Telephone | 434-447-8720
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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 | 0201003969
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License Number State | VA
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