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General NPI Number Information
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NPI Number | 1609573302
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Entity Type | Organization
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Legal Business Name | NORTHERN LIGHTS PHARMACY INC
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Dates
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Enumeration Date | 02/13/2023
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Last Update Date | 12/29/2024
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Provider Practice Location Address
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Address Line | 6954 AMERICANA PKWY STE P
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City | REYNOLDSBURG
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State | OH
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Zip | 43068-4115
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Country | US
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Telephone | 614-928-9230
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Fax | 614-928-9233
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Provider Business Mailing Address
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Address Line | 6954 AMERICANA PKWY STE P
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City | REYNOLDSBURG
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State | OH
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Zip | 43068-4115
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Country | US
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Telephone | 614-928-9230
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Fax | 614-928-9233
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Authorized Official
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Title or Position | CEO
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Name | MR. AMRIT ADHIKARI
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Credential |
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Telephone | 614-928-9230
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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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