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General NPI Number Information
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NPI Number | 1083038368
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Entity Type | Organization
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Legal Business Name | OHIO STATE UNIVERSITY OUTPATIENT PHARMACY
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Dates
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Enumeration Date | 02/07/2014
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 600 ACKERMAN RD SUITE E1014
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City | COLUMBUS
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State | OH
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Zip | 43202-4500
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Country | US
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Telephone | 614-293-5155
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Fax |
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Provider Business Mailing Address
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Address Line | 600 ACKERMAN RD STE E1014
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City | COLUMBUS
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State | OH
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Zip | 43202-4500
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Country | US
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Telephone | 614-685-1672
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Fax | 614-293-7822
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Authorized Official
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Title or Position | CHIEF PHARMACY OFFICER
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Name | DR. TRISHA JORDAN
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Credential | PHARMD
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Telephone | 614-293-8470
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | 03331027-3
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License Number State | OH
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