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General NPI Number Information
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NPI Number | 1861829228
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Entity Type | Organization
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Legal Business Name | ST. MARY'S MEDICAL CENTER INC
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Dates
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Enumeration Date | 10/01/2013
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Last Update Date | 11/28/2025
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Provider Practice Location Address
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Address Line | 3075 US ROUTE 60 STE 150
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City | HUNTINGTON
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State | WV
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Zip | 25705-8859
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Country | US
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Telephone | 304-399-3784
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Fax | 304-399-3785
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Provider Business Mailing Address
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Address Line | 3075 US ROUTE 60 STE 150
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City | HUNTINGTON
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State | WV
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Zip | 25705-8859
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Country | US
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Telephone | 304-399-3784
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Fax | 304-399-3785
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Authorized Official
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Title or Position | PHARMACY AMBULATORY SUPERVISOR
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Name | STEPHANIE STEPHENS
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Credential | PHARMD
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Telephone | 304-526-1234
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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 | SP0552459
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License Number State | WV
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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 |
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License Number State |
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