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General NPI Number Information
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NPI Number | 1174863914
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Entity Type | Organization
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Legal Business Name | HEALTH & WELLNESS PHARMACY LLC
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Dates
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Enumeration Date | 02/14/2013
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Last Update Date | 01/18/2017
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Provider Practice Location Address
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Address Line | 2200 MOCK RD
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City | COLUMBUS
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State | OH
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Zip | 43219-1261
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Country | US
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Telephone | 614-532-5438
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Fax | 888-661-4497
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Provider Business Mailing Address
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Address Line | PO BOX 1297
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City | HILLIARD
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State | OH
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Zip | 43026-6297
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Country | US
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Telephone | 614-530-0698
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Fax | 888-661-4497
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Authorized Official
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Title or Position | PHARMACIST
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Name | DARRELL BRYANT
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Credential |
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Telephone | 614-530-0698
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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 | RPT022248000
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License Number State | OH
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