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General NPI Number Information
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NPI Number | 1417054354
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Entity Type | Organization
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Legal Business Name | OLAKERS APOTHECARY LLC
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 07/22/2016
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Provider Practice Location Address
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Address Line | 1013 JEFFERSON ST
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City | GREENFIELD
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State | OH
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Zip | 45123-1283
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Country | US
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Telephone | 937-981-3245
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Fax | 937-981-3958
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Provider Business Mailing Address
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Address Line | 1013 JEFFERSON ST
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City | GREENFIELD
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State | OH
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Zip | 45123-1283
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Country | US
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Telephone | 937-981-3245
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Fax | 937-981-3958
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | DAVID OLAKER
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Credential |
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Telephone | 937-981-3245
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | 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 | 3336L0003X
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Taxonomy Name | Long Term Care 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 | RTP.022558100-03
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License Number State | OH
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