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General NPI Number Information
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NPI Number | 1649437740
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Entity Type | Individual
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Provider Name | BRANDON KEITH O'CALLAGHAN PHARMD
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Gender | Male
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Dates
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Enumeration Date | 05/18/2008
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 804 GORMAN AVE
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City | ELKINS
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State | WV
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Zip | 25241
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Country | US
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Telephone | 304-630-3036
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Fax | 740-441-9120
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Provider Business Mailing Address
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Address Line | 18 SHADY LANE
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City | WINFIELD
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State | WV
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Zip | 25213
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Country | US
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Telephone | 304-807-7133
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03-2-26367
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License Number State | OH
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