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General NPI Number Information
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NPI Number | 1184711384
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Entity Type | Organization
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Legal Business Name | MEDCO HEALTH SOLUTIONS OF COLUMBUS NORTH LTD
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Dates
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Enumeration Date | 10/07/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 700 W 3RD AVE
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City | COLUMBUS
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State | OH
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Zip | 43212-3101
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Country | US
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Telephone | 614-421-8200
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Fax |
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Provider Business Mailing Address
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Address Line | 100 PARSONS POND DR
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City | FRANKLIN LAKES
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State | NJ
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Zip | 07417-2604
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MARY RYAN
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Credential | RPH
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Telephone | 201-269-6900
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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 |
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License Number State |
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Taxonomy #2
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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 | OH
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