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General NPI Number Information
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NPI Number | 1750701066
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Entity Type | Organization
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Legal Business Name | HARNESS HEALTH PHARMACY - VIRGINIA LLC
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Dates
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Enumeration Date | 04/25/2014
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 1510 N 28TH ST STE 100
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City | RICHMOND
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State | VA
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Zip | 23223-5311
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Country | US
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Telephone | 804-325-8795
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Fax |
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Provider Business Mailing Address
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Address Line | 1510 N 28TH ST STE 100
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City | RICHMOND
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State | VA
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Zip | 23223-5311
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Country | US
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Telephone | 804-325-8795
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Fax |
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Authorized Official
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Title or Position | VP REIMBURSEMENT
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Name | KIMBERLY M RALSTON
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Credential |
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Telephone | 419-996-5119
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 0201004574
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License Number State | VA
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