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General NPI Number Information
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NPI Number | 1659661528
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Entity Type | Organization
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Legal Business Name | PROMEDICA PHARMACY GROUP LLC
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Dates
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Enumeration Date | 04/13/2011
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 3144 W CENTRAL AVE
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City | TOLEDO
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State | OH
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Zip | 43606-2920
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Country | US
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Telephone | 419-720-2170
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Fax | 419-720-2173
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Provider Business Mailing Address
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Address Line | 2100 W. CENTRAL AVE STE 140
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City | TOLEDO
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State | OH
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Zip | 43606
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Country | US
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Telephone | 419-291-4496
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Fax | 419-214-4350
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | DR. BRYAN JOSEPH COEHRS
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Credential | PHARMD, RPH
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Telephone | 419-291-4496
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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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