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General NPI Number Information
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NPI Number | 1700936077
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Entity Type | Organization
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Legal Business Name | WARREN MEMORIAL HOSPITAL PHARMACY
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1000 N SHENANDOAH AVE
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City | FRONT ROYAL
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State | VA
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Zip | 22630-3547
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Country | US
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Telephone | 540-636-0256
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Fax | 540-636-0345
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Provider Business Mailing Address
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Address Line | 1000 N SHENANDOAH AVE
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City | FRONT ROYAL
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State | VA
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Zip | 22630-3547
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Country | US
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Telephone | 540-636-0256
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Fax | 540-636-0345
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | JAMES STEVEN WELLS
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Credential | R.PH.
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Telephone | 540-636-0256
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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 | 02010001233
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License Number State | VA
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