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General NPI Number Information
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NPI Number | 1134165525
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Entity Type | Organization
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Legal Business Name | DISCOUNT DRUG MART INC
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 03/06/2017
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Provider Practice Location Address
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Address Line | 12289 LEAVITT RD
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City | OBERLIN
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State | OH
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Zip | 44074-8500
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Country | US
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Telephone | 440-774-5212
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Fax | 440-774-5210
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Provider Business Mailing Address
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Address Line | 211 COMMERCE DR
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City | MEDINA
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State | OH
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Zip | 44256-1331
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Country | US
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Telephone | 330-725-2340
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Fax | 330-764-4857
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Authorized Official
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Title or Position | PHARMACY COORDINATOR
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Name | LAURA TAYLOR
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Credential | CPHT
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Telephone | 330-725-2340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 020369650
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License Number State | OH
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