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General NPI Number Information
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NPI Number | 1124911185
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Entity Type | Organization
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Legal Business Name | AVACARE PHARMACY
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Dates
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Enumeration Date | 05/29/2025
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 2950 WESTWAY DR STE 101
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City | BRUNSWICK
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State | OH
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Zip | 44212-5666
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Country | US
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Telephone | 732-642-4160
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Fax |
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Provider Business Mailing Address
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Address Line | 3496 SANDLEWOOD DR
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City | BRUNSWICK
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State | OH
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Zip | 44212-4451
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Country | US
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Telephone | 732-642-4160
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Fax |
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Authorized Official
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Title or Position | OWNER/ PHARMACIST IN CHARGE
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Name | BESHOY MEKHAEL
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Credential | PHARMD
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Telephone | 732-642-4160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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