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General NPI Number Information
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NPI Number | 1750465357
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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 | 10/24/2006
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Last Update Date | 05/29/2015
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Provider Practice Location Address
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Address Line | 800 S MAIN ST
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City | LEXINGTON
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State | VA
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Zip | 24450-2237
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Country | US
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Telephone | 540-463-9166
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Fax | 540-463-9839
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Provider Business Mailing Address
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Address Line | 800 S MAIN ST
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City | LEXINGTON
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State | VA
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Zip | 24450-2237
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Country | US
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Telephone | 540-463-9166
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Fax | 540-463-9839
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Authorized Official
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Title or Position | OWNER
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Name | JEFFREY GOLDSTEIN
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Credential | RPH
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Telephone | 540-463-9166
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 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 #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 0201000424
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License Number State | VA
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