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General NPI Number Information
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NPI Number | 1275000671
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Entity Type | Organization
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Legal Business Name | ROCHESTER COMMUNITY PHARMACY LLC
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Dates
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Enumeration Date | 10/24/2018
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Last Update Date | 03/17/2021
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Provider Practice Location Address
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Address Line | 314 ELTON HILLS DR NW
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City | ROCHESTER
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State | MN
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Zip | 55901-2476
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Country | US
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Telephone | 507-322-6124
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Fax |
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Provider Business Mailing Address
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Address Line | 3916 ORCHARDVIEW LN NW
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City | ROCHESTER
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State | MN
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Zip | 55901-4326
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Country | US
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Telephone | 313-721-5859
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Fax |
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Authorized Official
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Title or Position | PHARMACIST-IN-CHARGE
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Name | OLUWASEYI FASEEMO
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Credential |
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Telephone | 313-721-5859
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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