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General NPI Number Information
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NPI Number | 1811988827
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Entity Type | Organization
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Legal Business Name | RADFORD DRUG INC
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Dates
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Enumeration Date | 10/31/2005
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 243 W MAIN ST
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City | RADFORD
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State | VA
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Zip | 24141-1584
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Country | US
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Telephone | 540-639-3996
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Fax | 540-731-4852
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Provider Business Mailing Address
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Address Line | 243 W MAIN ST
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City | RADFORD
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State | VA
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Zip | 24141-1584
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Country | US
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Telephone | 540-639-3996
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Fax | 540-731-4852
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Authorized Official
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Title or Position | MANAGER
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Name | JOHN ARMENTROUT
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Credential | TECHNICIAN
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Telephone | 540-639-3996
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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 | 0201000681
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License Number State | VA
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