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General NPI Number Information
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NPI Number | 1457475295
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Entity Type | Organization
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Legal Business Name | PHARMACY ALTERNATIVES,LTD.
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1100 JENNIFER DR
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City | DOVER
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State | OH
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Zip | 44622-1262
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Country | US
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Telephone | 330-495-4238
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 JENNIFER DR
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City | DOVER
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State | OH
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Zip | 44622-1262
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Country | US
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Telephone | 330-495-4238
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Fax |
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Authorized Official
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Title or Position | CONSULTANT
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Name | MR. LARRY OWEN
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Credential | R.PH.
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Telephone | 330-495-4238
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835G0303X
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Taxonomy Name | Geriatric Pharmacist
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License Number | 03-1-13230
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License Number State | OH
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