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General NPI Number Information
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NPI Number | 1326053232
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Entity Type | Organization
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Legal Business Name | RISER FOODS COMAPNY
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Dates
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Enumeration Date | 07/29/2006
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 15919 PEARL RD
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City | STRONGSVILLE
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State | OH
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Zip | 44136-6031
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Country | US
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Telephone | 440-238-4111
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Fax | 440-238-4225
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Provider Business Mailing Address
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Address Line | 700 CRANBERRY WOODS DR
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City | CRANBERRY TOWNSHIP
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State | PA
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Zip | 16066-5213
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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 | PRESIDENT OF PHARMACY
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Name | JAMES TSIPAKIS
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Credential |
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Telephone | 412-963-6200
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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 | 022321100
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License Number State | OH
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