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General NPI Number Information
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NPI Number | 1912876202
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Entity Type | Organization
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Legal Business Name | GREENBRIER MEDICAL ARTS PHARMACY, INC
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Dates
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Enumeration Date | 11/04/2025
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 3558 JEFFERSON ST N STE 1
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City | LEWISBURG
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State | WV
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Zip | 24901-5730
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Country | US
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Telephone | 304-647-1377
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Fax | 304-647-9772
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Provider Business Mailing Address
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Address Line | 3558 JEFFERSON ST N STE 1
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City | LEWISBURG
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State | WV
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Zip | 24901-5730
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Country | US
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Telephone | 304-647-1377
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Fax | 304-647-9772
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Authorized Official
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Title or Position | CORPORATE OFFICE MANAGER
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Name | ERIN HAGER
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Credential |
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Telephone | 304-793-3981
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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