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General NPI Number Information
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NPI Number | 1336476308
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Entity Type | Organization
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Legal Business Name | ZIKS FAMILY PHARMACY INC 102
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Dates
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Enumeration Date | 11/11/2009
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Last Update Date | 07/11/2024
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Provider Practice Location Address
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Address Line | 1120 W 3RD ST
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City | DAYTON
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State | OH
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Zip | 45402-6834
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Country | US
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Telephone | 937-278-9457
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Fax | 937-275-5703
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Provider Business Mailing Address
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Address Line | 1130 W 3RD ST
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City | DAYTON
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State | OH
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Zip | 45402-6812
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Country | US
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Telephone | 937-278-9457
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Fax | 937-275-5703
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Authorized Official
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Title or Position | OWNER
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Name | NNODUM IHEME
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Credential |
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Telephone | 937-278-9457
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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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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 021990900
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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