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General NPI Number Information
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NPI Number | 1659640746
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Entity Type | Organization
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Legal Business Name | OHIOGUIDESTONE PHARMACY LLC
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Dates
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Enumeration Date | 12/20/2011
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Last Update Date | 04/19/2017
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Provider Practice Location Address
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Address Line | 3500 CARNEGIE AVE
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City | CLEVELAND
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State | OH
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Zip | 44115-2641
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Country | US
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Telephone | 440-260-8892
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Fax | 216-361-9273
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Provider Business Mailing Address
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Address Line | 3500 CARNEGIE AVE
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City | CLEVELAND
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State | OH
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Zip | 44115-2641
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Country | US
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Telephone | 440-260-8892
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Fax | 216-361-9273
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY OPERATIONS
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Name | ANAND PANDYA
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Credential |
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Telephone | 440-260-8892
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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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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | PMY.022489300-03
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License Number State | OH
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