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General NPI Number Information
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NPI Number | 1629552385
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Entity Type | Organization
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Legal Business Name | WEST POINT PHARMACY
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Dates
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Enumeration Date | 09/19/2018
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Last Update Date | 09/19/2018
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Provider Practice Location Address
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Address Line | 3024 W 300 N STE D
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City | WEST POINT
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State | UT
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Zip | 84015-7259
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Country | US
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Telephone | 480-363-6289
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Fax |
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Provider Business Mailing Address
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Address Line | 3491 W 300 N
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City | WEST POINT
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State | UT
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Zip | 84015-7433
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Country | US
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Telephone | 480-363-6289
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SETH A MAUCHLEY
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Credential | PHARM D.
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Telephone | 480-363-6289
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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 |
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License Number State |
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