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General NPI Number Information
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NPI Number | 1992734735
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Entity Type | Organization
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Legal Business Name | B & W PHARMACY, INC.
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 05/09/2008
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Provider Practice Location Address
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Address Line | 501 DIETZ LANE
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City | BEVERLY
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State | OH
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Zip | 45715
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Country | US
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Telephone | 740-984-2305
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Fax | 740-984-2522
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Provider Business Mailing Address
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Address Line | PO BOX 697
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City | BEVERLY
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State | OH
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Zip | 45715
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Country | US
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Telephone | 740-984-2305
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Fax | 740-984-2522
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Authorized Official
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Title or Position | JUNIOR PARTNER/PHARMACIST
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Name | MR. CHADWICK RYAN HUCK
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Credential | R.PH.
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Telephone | 740-984-2305
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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 | 02-0084350
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License Number State | OH
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