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General NPI Number Information
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NPI Number | 1093544900
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Entity Type | Organization
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Legal Business Name | ROCHESTER CITY PHARMACY LLC
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Dates
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Enumeration Date | 07/29/2024
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Last Update Date | 07/29/2024
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Provider Practice Location Address
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Address Line | 1312 7TH ST NW # 1306
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City | ROCHESTER
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State | MN
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Zip | 55901-1704
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Country | US
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Telephone | 507-206-3196
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Fax | 507-206-3186
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Provider Business Mailing Address
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Address Line | 1312 7TH ST NW # 1306
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City | ROCHESTER
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State | MN
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Zip | 55901-1704
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Country | US
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Telephone | 507-206-3196
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Fax | 507-206-3186
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Authorized Official
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Title or Position | OWNER
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Name | OLUWASEYI FASEEMO
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Credential |
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Telephone | 507-206-3196
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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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