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General NPI Number Information
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NPI Number | 1649365412
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Entity Type | Organization
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Legal Business Name | BETHESDA NORTH APOTHECARY
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 10/08/2010
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Provider Practice Location Address
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Address Line | 10500 MONTGOMERY RD
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City | CINCINNATI
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State | OH
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Zip | 45242
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Country | US
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Telephone | 513-745-1184
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Fax | 513-745-1158
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Provider Business Mailing Address
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Address Line | 10500 MONTGOMERY RD
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City | CINCINNATI
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State | OH
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Zip | 45242
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Country | US
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Telephone | 513-745-1184
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Fax | 513-745-1158
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | MR. LEONARD KAES
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Credential | RPH
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Telephone | 513-872-3550
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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 | 020032100
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License Number State | OH
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