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General NPI Number Information
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NPI Number | 1285223735
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Entity Type | Organization
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Legal Business Name | SALEONE PHARMACY LLC
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Dates
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Enumeration Date | 01/11/2021
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Last Update Date | 01/11/2021
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Provider Practice Location Address
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Address Line | 6078 HUNTLEY RD
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City | COLUMBUS
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State | OH
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Zip | 43229-1002
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Country | US
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Telephone | 614-516-8837
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Fax |
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Provider Business Mailing Address
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Address Line | 8085 ORANGE STATION LOOP
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City | LEWIS CENTER
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State | OH
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Zip | 43035-7288
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Country | US
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Telephone | 614-516-8837
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Fax |
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE/CO-OWNER
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Name | BRIMA MANSARAY
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Credential |
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Telephone | 614-516-8837
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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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