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General NPI Number Information
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NPI Number | 1184168080
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Entity Type | Organization
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Legal Business Name | O'REILLY FAMILY PHARMACY LLC
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Dates
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Enumeration Date | 12/12/2016
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Last Update Date | 12/12/2016
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Provider Practice Location Address
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Address Line | 1020 HIGH ST
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City | WORTHINGTON
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State | OH
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Zip | 43085-4014
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Country | US
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Telephone | 614-865-2577
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Fax |
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Provider Business Mailing Address
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Address Line | 1020 HIGH ST
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City | WORTHINGTON
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State | OH
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Zip | 43085-4014
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Country | US
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Telephone | 614-865-2577
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AIMEE JUSTINE O'REILLY
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Credential | PHARMD
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Telephone | 330-540-8969
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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 | 022668050
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License Number State | OH
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