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General NPI Number Information
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NPI Number | 1538209580
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Entity Type | Organization
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Legal Business Name | CARA LOU FREY DBA RED CROSS DRUG STORE
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 201 N DEFIANCE ST
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City | ARCHBOLD
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State | OH
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Zip | 43502-1160
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Country | US
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Telephone | 419-445-4496
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Fax | 419-445-8231
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Provider Business Mailing Address
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Address Line | 201 N DEFIANCE ST
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City | ARCHBOLD
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State | OH
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Zip | 43502-1160
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Country | US
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Telephone | 419-445-4496
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Fax | 419-445-8231
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Authorized Official
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Title or Position | PHARMACIST
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Name | MR. JAMES WILLIAM FREY
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Credential | R.PH.
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Telephone | 419-445-4496
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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 |
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License Number State | OH
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