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General NPI Number Information
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NPI Number | 1578232120
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Entity Type | Organization
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Legal Business Name | OHIO INTAKE PHARMACY 2 LLC
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Dates
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Enumeration Date | 09/08/2021
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 6 S 2ND ST STE 506
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City | HAMILTON
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State | OH
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Zip | 45011-2846
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Country | US
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Telephone | 513-737-3777
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Fax |
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Provider Business Mailing Address
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Address Line | 6 S 2ND ST STE 506
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City | HAMILTON
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State | OH
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Zip | 45011-2846
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | PAUL JAMES GREENALL
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Credential |
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Telephone | 415-860-2534
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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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