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General NPI Number Information
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NPI Number | 1396310157
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Entity Type | Organization
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Legal Business Name | MEDCENTRIC PHARMACY 2 LLC
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Dates
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Enumeration Date | 05/24/2021
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 5961 BOYMEL DR STE 3
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City | FAIRFIELD
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State | OH
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Zip | 45014-5592
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Country | US
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Telephone | 513-499-2818
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Fax | 513-499-2819
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Provider Business Mailing Address
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Address Line | 5961 BOYMEL DR STE 3
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City | FAIRFIELD
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State | OH
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Zip | 45014-5592
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Country | US
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Telephone | 513-499-2818
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Fax | 513-499-2819
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MILAN NEOPANEY
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Credential |
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Telephone | 717-327-0253
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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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