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General NPI Number Information
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NPI Number | 1700960994
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Entity Type | Organization
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Legal Business Name | EASTERDAY PHARMACY LLC
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 09/17/2024
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Provider Practice Location Address
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Address Line | 1696 S ARCH AVE
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City | ALLIANCE
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State | OH
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Zip | 44601-4317
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Country | US
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Telephone | 330-823-2266
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Fax | 330-821-4488
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Provider Business Mailing Address
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Address Line | 1696 S. ARCH AVE
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City | ALLIANCE
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State | OH
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Zip | 44601
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Country | US
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Telephone | 330-823-8266
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Fax | 330-821-4488
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Authorized Official
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Title or Position | MANAGER
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Name | VIRAL PATEL
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Credential |
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Telephone | 330-823-2266
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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 |
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Taxonomy #2
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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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