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General NPI Number Information
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NPI Number | 1407915044
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Entity Type | Organization
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Legal Business Name | WILSON-RICH, LLC
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5100 WILSON MILLS RD
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City | RICHMOND HEIGHTS
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State | OH
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Zip | 44143-3006
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Country | US
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Telephone | 440-449-4477
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Fax | 440-460-0004
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Provider Business Mailing Address
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Address Line | 5100 WILSON MILLS RD
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City | RICHMOND HEIGHTS
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State | OH
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Zip | 44143-3006
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Country | US
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Telephone | 440-449-4477
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Fax | 440-460-0004
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOHN ZAGARA
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Credential |
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Telephone | 216-397-8564
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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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