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General NPI Number Information
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NPI Number | 1588663793
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Entity Type | Organization
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Legal Business Name | DAVID PHARMACY LLC
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Dates
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Enumeration Date | 07/19/2005
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Last Update Date | 04/03/2015
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Provider Practice Location Address
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Address Line | 1518 E MAIN ST
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City | LANCASTER
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State | OH
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Zip | 43130-3435
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Country | US
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Telephone | 740-304-0746
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Fax | 740-304-0747
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Provider Business Mailing Address
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Address Line | 1518 E MAIN ST
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City | LANCASTER
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State | OH
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Zip | 43130-3435
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Country | US
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Telephone | 740-304-0658
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Fax | 740-304-0747
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | DUSTIN BARRETT
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Credential |
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Telephone | 740-304-0746
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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 | RTP.022412050-03
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License Number State | OH
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