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General NPI Number Information
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NPI Number | 1427160977
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Entity Type | Organization
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Legal Business Name | COLER DRUG MCCONNELSVILLE LTD
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 04/01/2020
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Provider Practice Location Address
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Address Line | 105 N KENNEBEC AVE
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City | MCCONNELSVILLE
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State | OH
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Zip | 43756-1254
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Country | US
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Telephone | 740-962-2552
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Fax | 740-962-2730
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Provider Business Mailing Address
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Address Line | PO BOX 3506
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City | ZANESVILLE
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State | OH
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Zip | 43702-3506
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Country | US
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Telephone | 740-452-7685
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Fax | 740-452-7655
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | JOHN E COLER
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Credential |
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Telephone | 740-452-7685
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 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 #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 021736450
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License Number State | OH
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