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General NPI Number Information
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NPI Number | 1528080454
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Entity Type | Organization
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Legal Business Name | DAVIES DRUGS INC
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Dates
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Enumeration Date | 07/23/2006
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Last Update Date | 09/29/2011
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Provider Practice Location Address
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Address Line | 6046 WHIPPLE AVE NW
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City | NORTH CANTON
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State | OH
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Zip | 44720-7616
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Country | US
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Telephone | 330-305-9075
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Fax | 330-305-9176
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Provider Business Mailing Address
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Address Line | 6046 WHIPPLE AVE NW
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City | NORTH CANTON
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State | OH
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Zip | 44720-7616
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Country | US
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Telephone | 330-305-9075
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Fax | 330-305-9176
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Authorized Official
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Title or Position | OWNER
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Name | STEVEN FELLMAN
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Credential |
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Telephone | 330-454-5151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 02097470003
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License Number State | OH
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