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General NPI Number Information
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NPI Number | 1720280803
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Entity Type | Organization
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Legal Business Name | ABE & NORMA'S RX INC
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 19771 MAIN ST SUITE B
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City | BUCHANAN
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State | VA
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Zip | 24066
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Country | US
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Telephone | 540-254-2904
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Fax | 540-254-2907
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Provider Business Mailing Address
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Address Line | PO BOX 280
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City | BUCHANAN
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State | VA
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Zip | 24066-0280
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Country | US
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Telephone | 540-254-2904
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Fax | 540-254-2907
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Authorized Official
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Title or Position | OWNER
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Name | MISS JEFFREY GOLDSTEIN
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Credential |
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Telephone | 917-921-1720
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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 | 0201004155
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License Number State | VA
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