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General NPI Number Information
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NPI Number | 1083345235
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Entity Type | Organization
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Legal Business Name | INTRA-NATIONAL PHARMACY LLC
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Dates
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Enumeration Date | 06/20/2022
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Last Update Date | 02/12/2023
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Provider Practice Location Address
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Address Line | 958 N WAGGONER RD
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City | BLACKLICK
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State | OH
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Zip | 43004-7911
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Country | US
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Telephone | 682-444-9524
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Fax |
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Provider Business Mailing Address
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Address Line | 958 N WAGGONER RD
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City | BLACKLICK
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State | OH
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Zip | 43004-7911
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING OFFICER
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Name | MR. TEK NATH NEOPANEY
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Credential | PHARM D
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Telephone | 682-444-9524
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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