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General NPI Number Information
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NPI Number | 1932573425
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Entity Type | Organization
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Legal Business Name | WV CHS PHARMACY SERVICES, LLC
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Dates
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Enumeration Date | 11/20/2015
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 15063 MACCORKLE AVE., SE
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City | CABIN CREEK
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State | WV
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Zip | 25035-8047
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Country | US
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Telephone | 304-595-4900
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Fax | 304-595-4652
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Provider Business Mailing Address
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Address Line | 10123 ALLIANCE RD
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City | BLUE ASH
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State | OH
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Zip | 45242-4887
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Country | US
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Telephone | 513-489-7100
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Fax |
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Authorized Official
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Title or Position | CHIEF PHARMACY OFFICER
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Name | MR. JOSEPH G MAREK
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Credential | RPH
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Telephone | 513-530-1808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | SP0552501
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License Number State | WV
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Taxonomy #3
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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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