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General NPI Number Information
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NPI Number | 1780483693
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Entity Type | Organization
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Legal Business Name | R. CHAFFIN DRUG CO., LLC
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Dates
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Enumeration Date | 03/12/2025
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 8468 SENECA TRL S
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City | RONCEVERTE
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State | WV
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Zip | 24970-9626
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Country | US
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Telephone | 681-214-7774
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Fax |
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Provider Business Mailing Address
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Address Line | 140 OLD BELL RD
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City | CALDWELL
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State | WV
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Zip | 24925-7613
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Country | US
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Telephone | 681-214-7774
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RANDALL BERRY CHAFFIN
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Credential | RPH
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Telephone | 606-534-0701
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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 |
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License Number State |
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