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General NPI Number Information
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NPI Number | 1720061989
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Entity Type | Organization
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Legal Business Name | PINEVIEW PHARMACY INC
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Dates
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Enumeration Date | 11/22/2005
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Last Update Date | 06/26/2019
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Provider Practice Location Address
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Address Line | 117 COMMERCE ST E
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City | PINEVIEW
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State | GA
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Zip | 31071-3437
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Country | US
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Telephone | 229-624-2711
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Fax | 229-624-2811
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Provider Business Mailing Address
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Address Line | 117 COMMERCE ST E
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City | PINEVIEW
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State | GA
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Zip | 31071-3437
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Country | US
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Telephone | 229-624-2711
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Fax | 229-624-2811
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Authorized Official
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Title or Position | PHARMACISTS/PRESIDENT
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Name | ROBERT MICHAEL FOREHAND
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Credential | RPH
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Telephone | 229-624-2711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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