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General NPI Number Information
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NPI Number | 1801822572
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Entity Type | Organization
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Legal Business Name | WILLIAMSTOWN PHARMACY INC
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Dates
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Enumeration Date | 06/24/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 426 HIGHLAND AVE
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City | WILLIAMSTOWN
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State | WV
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Zip | 26187-1249
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Country | US
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Telephone | 304-375-6547
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Fax |
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Provider Business Mailing Address
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Address Line | 426 HIGHLAND AVE
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City | WILLIAMSTOWN
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State | WV
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Zip | 26187-1249
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Country | US
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Telephone | 304-375-6547
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SYLVIA M MILES
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Credential | PHARMD, RPH
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Telephone | 304-375-6547
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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 | SP0551130
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License Number State | WV
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