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General NPI Number Information
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NPI Number | 1770639114
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Entity Type | Organization
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Legal Business Name | G & R LLC
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 05/27/2010
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Provider Practice Location Address
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Address Line | 361 NORWAY AVE
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City | HUNTINGTON
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State | WV
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Zip | 25705-1320
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Country | US
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Telephone | 304-697-5090
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Fax | 304-697-5091
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Provider Business Mailing Address
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Address Line | 361 NORWAY AVE
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City | HUNTINGTON
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State | WV
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Zip | 25705-1320
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Country | US
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Telephone | 304-697-5090
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Fax | 304-697-5091
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Authorized Official
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Title or Position | OWNER AND PHARMACIST
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Name | RICHARD FINLEY
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Credential | RPH
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Telephone | 304-697-5090
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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 | MP0552325
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License Number State | WV
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