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General NPI Number Information
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NPI Number | 1699729418
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Entity Type | Organization
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Legal Business Name | WILBUR DRUG, INC.
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 2 SW MAIN AVE
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City | WILBUR
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State | WA
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Zip | 99185-1092
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Country | US
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Telephone | 509-647-2034
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Fax | 509-647-2034
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Provider Business Mailing Address
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Address Line | 2 SW MAIN AVE P.O.BOX 1092
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City | WILBUR
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State | WA
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Zip | 99185-1092
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Country | US
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Telephone | 509-647-2034
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Fax | 509-647-2034
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. PATRICK J PYLE
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Credential | RPH
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Telephone | 509-647-2034
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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 | CF00003613
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License Number State | WA
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