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General NPI Number Information
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NPI Number | 1710920020
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Entity Type | Organization
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Legal Business Name | RAYFIELD'S PHARMACY INC
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 11/24/2015
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Provider Practice Location Address
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Address Line | 9502 HOSPITAL AVE
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City | NASSAWADOX
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State | VA
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Zip | 23413
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Country | US
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Telephone | 757-442-6159
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Fax | 757-442-2434
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Provider Business Mailing Address
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Address Line | PO BOX 213
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City | NASSAWADOX
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State | VA
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Zip | 23413-0213
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Country | US
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Telephone | 757-442-6159
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Fax | 757-442-2434
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Authorized Official
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Title or Position | OWNER,RPH,AO
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Name | THOMAS RAYFIELD
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Credential | RPH
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Telephone | 757-442-6159
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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 | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 0201001932
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License Number State | VA
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