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General NPI Number Information
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NPI Number | 1285731190
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Entity Type | Organization
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Legal Business Name | PHARMACY OVER THE RHINE
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 09/13/2007
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Provider Practice Location Address
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Address Line | 5 E LIBERTY ST
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City | CINCINNATI
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State | OH
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Zip | 45202-8202
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Country | US
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Telephone | 513-579-0900
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Fax | 513-579-0123
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Provider Business Mailing Address
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Address Line | 5 E LIBERTY ST
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City | CINCINNATI
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State | OH
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Zip | 45202-8202
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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 | PIC
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Name | SUSAN LATTIER
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Credential | RPH
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Telephone | 513-579-0900
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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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