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General NPI Number Information
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NPI Number | 1578169033
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Entity Type | Organization
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Legal Business Name | SOUTHEAST OHIO FREE PHARMACY
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Dates
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Enumeration Date | 12/09/2020
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Last Update Date | 12/09/2020
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Provider Practice Location Address
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Address Line | 86 COLUMBUS CIR STE 104G
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City | ATHENS
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State | OH
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Zip | 45701-1371
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Country | US
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Telephone | 614-849-2971
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 193
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City | ATHENS
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State | OH
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Zip | 45701-0193
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Country | US
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Telephone | 614-849-2971
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Fax |
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Authorized Official
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Title or Position | PHARMACIST / BOARD PRESIDENT
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Name | DR. SARAH ADKINS
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Credential | REGISTERED PHARMACIS
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Telephone | 614-849-2971
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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 |
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