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General NPI Number Information
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NPI Number | 1669342861
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Entity Type | Organization
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Legal Business Name | ELITE PHARMACY RAVENNA LLC
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Dates
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Enumeration Date | 11/11/2025
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 6693 N CHESTNUT ST
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City | RAVENNA
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State | OH
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Zip | 44266-3922
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Country | US
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Telephone | 330-296-6014
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Fax | 330-296-6100
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Provider Business Mailing Address
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Address Line | 11 E MAIN ST
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City | CANFIELD
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State | OH
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Zip | 44406-1318
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Country | US
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Telephone | 330-286-0226
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Fax | 330-286-0269
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANIEL JONES
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Credential | PHARMD
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Telephone | 330-296-6014
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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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