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General NPI Number Information
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NPI Number | 1740263680
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Entity Type | Organization
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Legal Business Name | MCCULLOUGH & RIFFLE DRUGS INC
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Dates
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Enumeration Date | 11/23/2005
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Last Update Date | 02/27/2023
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Provider Practice Location Address
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Address Line | 636 EAST MAIN STREET
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City | POMEROY
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State | OH
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Zip | 45769-1021
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Country | US
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Telephone | 740-992-2955
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Fax | 740-992-5244
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Provider Business Mailing Address
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Address Line | 636 EAST MAIN STREET
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City | POMEROY
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State | OH
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Zip | 45769-1021
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Country | US
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Telephone | 740-992-2955
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Fax | 740-992-5244
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Authorized Official
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Title or Position | OWNER
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Name | MR. EDWARD J ZATTA
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Credential | R PH
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Telephone | 740-992-2955
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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 | 020081300
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License Number State | OH
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