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General NPI Number Information
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NPI Number | 1568784254
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Entity Type | Organization
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Legal Business Name | PHARMACY COUNTER, LLC
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Dates
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Enumeration Date | 02/22/2010
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Last Update Date | 01/10/2011
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Provider Practice Location Address
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Address Line | 601 PARKWAY DR
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City | FOSTORIA
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State | OH
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Zip | 44830-1592
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Country | US
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Telephone | 419-436-0004
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Fax | 419-436-8190
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Provider Business Mailing Address
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Address Line | 601 PARKWAY DR
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City | FOSTORIA
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State | OH
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Zip | 44830-1592
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Country | US
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Telephone | 419-436-0004
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Fax | 419-436-8190
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Authorized Official
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Title or Position | PRESIDENT
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Name | GLADEEN ROBERTS
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Credential |
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Telephone | 419-824-7427
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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