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General NPI Number Information
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NPI Number | 1326089186
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Entity Type | Organization
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Legal Business Name | BROSSART INC
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Dates
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Enumeration Date | 06/10/2006
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 45 S MIAMI AVE
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City | CLEVES
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State | OH
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Zip | 45002-1216
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Country | US
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Telephone | 513-941-0428
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Fax | 513-467-3512
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Provider Business Mailing Address
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Address Line | 45 S MIAMI AVE
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City | CLEVES
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State | OH
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Zip | 45002-1216
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Country | US
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Telephone | 513-941-0428
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Fax | 513-467-3512
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOHN JOSEPH BROSSART
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Credential | RPH
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Telephone | 513-941-0428
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03-3-16002
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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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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