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General NPI Number Information
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NPI Number | 1447469093
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Entity Type | Organization
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Legal Business Name | DRUG MART PHARMACY
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 27255 DETROIT RD
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City | WESTLAKE
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State | OH
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Zip | 44145-2228
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Country | US
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Telephone | 440-871-6077
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Fax |
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Provider Business Mailing Address
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Address Line | 550 GLEN PARK DR
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City | BAY VILLAGE
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State | OH
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Zip | 44140-2450
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Country | US
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Telephone | 440-897-1823
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Fax |
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Authorized Official
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Title or Position | HEAD PHARMACIST
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Name | MR. DARREL ZIEMIANSKI
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Credential |
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Telephone | 440-871-6077
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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 | 06005267
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License Number State | OH
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