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General NPI Number Information
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NPI Number | 1457475964
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Entity Type | Organization
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Legal Business Name | REHABILITATION HOSPITAL AT HEATHER HILL PHARMACY
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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 | 12340 BASS LAKE RD PHARMACY DEPARTMENT
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City | CHARDON
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State | OH
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Zip | 44024-8327
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Country | US
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Telephone | 440-279-2412
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Fax |
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Provider Business Mailing Address
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Address Line | 12340 BASS LAKE RD PHARMACY DEPARTMENT
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City | CHARDON
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State | OH
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Zip | 44024-8327
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | MIKE MCGRATH
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Credential |
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Telephone | 440-279-2412
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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 |
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License Number State | OH
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