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General NPI Number Information
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NPI Number | 1700889524
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Entity Type | Organization
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Legal Business Name | BARRON CHAGRIN DRUG, INC.
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Dates
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Enumeration Date | 05/24/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 23632 MERCANTILE RD STE F
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City | BEACHWOOD
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State | OH
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Zip | 44122-5916
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Country | US
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Telephone | 216-360-0500
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Fax | 216-360-0506
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Provider Business Mailing Address
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Address Line | 23632 MERCANTILE RD STE F
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City | BEACHWOOD
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State | OH
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Zip | 44122-5916
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Country | US
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Telephone | 216-360-0500
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Fax | 216-360-0506
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MARSHALL E BARRON
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Credential | RPH
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Telephone | 216-360-0500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | OH
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