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General NPI Number Information
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NPI Number | 1417014978
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Entity Type | Organization
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Legal Business Name | PHARMACY CARE ASSOCIATES
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 05/14/2008
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Provider Practice Location Address
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Address Line | 2603 MAHONING AVE
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City | YOUNGSTOWN
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State | OH
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Zip | 44509-2334
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Country | US
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Telephone | 330-270-1311
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Fax |
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Provider Business Mailing Address
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Address Line | 2603 MAHONING AVE
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City | YOUNGSTOWN
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State | OH
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Zip | 44509-2334
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Country | US
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Telephone | 330-270-1311
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | DAN WEARSCH
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Credential | P.PH.
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Telephone | 330-270-1311
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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 | 02-1069150
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License Number State | OH
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