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General NPI Number Information
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NPI Number | 1861647711
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Entity Type | Organization
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Legal Business Name | NORTON PHARMACY LLC
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Dates
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Enumeration Date | 11/19/2008
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Last Update Date | 05/04/2010
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Provider Practice Location Address
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Address Line | 460 PARK AVE NW
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City | NORTON
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State | VA
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Zip | 24273-2114
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Country | US
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Telephone | 276-679-8383
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Fax | 276-679-8388
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Provider Business Mailing Address
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Address Line | 460 PARK AVE NW
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City | NORTON
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State | VA
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Zip | 24273-2114
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Country | US
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Telephone | 276-679-8383
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Fax | 276-679-8388
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | JASON HUNSAKER
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Credential |
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Telephone | 276-393-0428
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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 | 0201004258
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License Number State | VA
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