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General NPI Number Information
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NPI Number | 1427108356
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Entity Type | Organization
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Legal Business Name | DOCTORS PARK PHARMACY
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 04/15/2008
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Provider Practice Location Address
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Address Line | 2030 DOCTORS PARK DR
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City | COLUMBUS
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State | IN
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Zip | 47203-2221
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Country | US
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Telephone | 812-378-6135
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Fax | 812-378-6134
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Provider Business Mailing Address
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Address Line | 2030 DOCTORS PARK DR
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City | COLUMBUS
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State | IN
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Zip | 47203-2221
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Country | US
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Telephone | 812-378-6135
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Fax | 812-378-6134
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Authorized Official
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Title or Position | OWNER
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Name | PATRICK J CASHEN
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Credential | RPH
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Telephone | 812-378-6135
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 60005735A
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License Number State | IN
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