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General NPI Number Information
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NPI Number | 1235457193
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Entity Type | Organization
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Legal Business Name | CITY PHARMACY LLC
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Dates
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Enumeration Date | 05/17/2010
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Last Update Date | 07/18/2012
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Provider Practice Location Address
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Address Line | 1198 N HIGH ST
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City | COLUMBUS
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State | OH
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Zip | 43201-2411
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Country | US
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Telephone | 614-732-5947
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Fax | 614-754-1246
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Provider Business Mailing Address
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Address Line | 1198 N HIGH ST
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City | COLUMBUS
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State | OH
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Zip | 43201-2411
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Country | US
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Telephone | 614-732-5947
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Fax | 614-754-1246
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Authorized Official
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Title or Position | OWNER/PIC
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Name | KATHERINE ADAMS
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Credential | PHARMD
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Telephone | 614-732-5947
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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 | 022065000
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License Number State | OH
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