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General NPI Number Information
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NPI Number | 1215042437
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Entity Type | Organization
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Legal Business Name | DABCO PHARMACIES INC
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1257 W BROAD ST
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City | COLUMBUS
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State | OH
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Zip | 43222-1359
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Country | US
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Telephone | 614-276-6636
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Fax | 614-276-8032
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Provider Business Mailing Address
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Address Line | 1257 W BROAD ST
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City | COLUMBUS
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State | OH
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Zip | 43222-1359
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Country | US
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Telephone | 614-276-6636
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. NICHOLAS STEPHEN RAGAJI
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Credential | RPH
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Telephone | 614-276-6636
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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 | OH
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