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General NPI Number Information
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NPI Number | 1487040697
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Entity Type | Organization
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Legal Business Name | MOUNT CARMEL WEST OUTPATIENT PHARMACY
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Dates
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Enumeration Date | 04/14/2015
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Last Update Date | 04/14/2015
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Provider Practice Location Address
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Address Line | 793 W STATE ST SUITE OPC
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City | COLUMBUS
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State | OH
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Zip | 43222-1551
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Country | US
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Telephone | 614-234-5087
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Fax | 614-234-5535
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Provider Business Mailing Address
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Address Line | 793 W STATE ST SUITE OPC
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City | COLUMBUS
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State | OH
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Zip | 43222-1551
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Country | US
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Telephone | 614-234-5087
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Fax | 614-234-5535
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | MR. JOHN JOSEPH O'CONNELL
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Credential | RPH
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Telephone | 614-234-1224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 022494100-03
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License Number State | OH
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