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General NPI Number Information
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NPI Number | 1104366202
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Entity Type | Organization
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Legal Business Name | LO-CAL PHARMA LLC
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Dates
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Enumeration Date | 03/08/2017
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Last Update Date | 01/16/2018
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Provider Practice Location Address
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Address Line | 4075 E GALBRAITH RD
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City | CINCINNATI
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State | OH
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Zip | 45236-2323
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Country | US
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Telephone | 513-757-9019
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Fax | 513-757-9020
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Provider Business Mailing Address
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Address Line | 4075 E GALBRAITH RD
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City | CINCINNATI
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State | OH
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Zip | 45236-2323
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Country | US
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Telephone | 513-757-9019
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Fax | 513-757-9020
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Authorized Official
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Title or Position | PRESIDENT
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Name | SHADY ARAFA
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Credential | RPH
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Telephone | 513-757-9019
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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 | 22812900
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License Number State | OH
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