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NPI 1760772487

NPI 1760772487 : HEALTH FACILITIES INC : MILL CREEK, WV

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General NPI Number Information
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    NPI Number           |    1760772487
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    Entity Type          |    Organization 
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    Legal Business Name  |    HEALTH FACILITIES INC 
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Dates
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    Enumeration Date     |    04/14/2011
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    Last Update Date     |    11/20/2013
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Provider Practice Location Address
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    Address Line         |    46 TOWN CENTER PLAZA 
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    City                 |    MILL CREEK
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    State                |    WV
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    Zip                  |    26280
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    Country              |    US
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    Telephone            |    304-335-6005
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    Fax                  |    304-335-6009
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Provider Business Mailing Address
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    Address Line         |    PO BOX 309 
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    City                 |    MILL CREEK
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    State                |    WV
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    Zip                  |    26280-0309
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    Country              |    US
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    Telephone            |    304-335-6005
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    Fax                  |    304-335-6009
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Authorized Official
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    Title or Position    |    PHARMACY DIRECTOR
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    Name                 |     AMANDA  SMITH 
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    Credential           |    
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    Telephone            |    304-636-6767
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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       |    SP0552421
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    License Number State |    WV
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