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General NPI Number Information
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NPI Number | 1912992884
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Entity Type | Organization
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Legal Business Name | TRINITY WEST PHARMACY
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Dates
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Enumeration Date | 09/15/2005
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Last Update Date | 10/12/2023
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Provider Practice Location Address
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Address Line | 4000 JOHNSON RD
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City | STEUBENVILLE
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State | OH
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Zip | 43952-2300
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Country | US
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Telephone | 740-264-8663
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Fax | 740-264-8612
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Provider Business Mailing Address
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Address Line | 4000 JOHNSON RD
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City | STEUBENVILLE
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State | OH
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Zip | 43952-2300
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Country | US
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Telephone | 740-264-8663
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Fax | 740-264-8612
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Authorized Official
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Title or Position | MARKET DIRECTOR OF PHARMACY
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Name | MRS. JEN DAVIS
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Credential | PHARMD,MBA,DPLA
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Telephone | 740-264-8669
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 02-035900
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License Number State | OH
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