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General NPI Number Information
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NPI Number | 1922809540
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Entity Type | Organization
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Legal Business Name | FISHING POINT HEALTHCARE PHARMACY #002
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Dates
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Enumeration Date | 03/20/2025
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 2315 JEFFERSON AVE
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City | NEWPORT NEWS
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State | VA
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Zip | 23607-4509
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Country | US
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Telephone | 757-586-5552
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Fax | 757-586-5558
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Provider Business Mailing Address
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Address Line | 2315 JEFFERSON AVE
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City | NEWPORT NEWS
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State | VA
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Zip | 23607-4509
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Country | US
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Telephone | 757-586-5552
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Fax | 757-586-5558
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | DR. MICHAEL THOMAS PIGFORD II
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Credential | PHARMD
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Telephone | 757-287-5145
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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 | NULL
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Taxonomy #2
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Taxonomy Code | 332800000X
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Taxonomy Name | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
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License Number |
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License Number State | NULL
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Taxonomy #3
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State | NULL
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Taxonomy #4
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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 | NULL
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