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General NPI Number Information
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NPI Number | 1598168841
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Entity Type | Organization
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Legal Business Name | RITE AID
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Dates
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Enumeration Date | 10/01/2014
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Last Update Date | 10/01/2014
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Provider Practice Location Address
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Address Line | 1115 W PROSPECT RD
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City | ASHTABULA
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State | OH
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Zip | 44004-6520
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Country | US
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Telephone | 440-998-3777
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Fax |
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Provider Business Mailing Address
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Address Line | 38510 MELROSE FARMS DR
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City | WILLOUGHBY
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State | OH
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Zip | 44094-7691
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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 | PHARMACIST
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Name | BENJAMIN FURTWENGLER
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Credential | PHARM.D
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Telephone | 513-301-6292
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03234026
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License Number State | OH
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