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General NPI Number Information
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NPI Number | 1710998356
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Entity Type | Organization
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Legal Business Name | PHARMISERV CORP
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 02/14/2011
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Provider Practice Location Address
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Address Line | 5212 W BROAD ST
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City | COLUMBUS
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State | OH
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Zip | 43228-1642
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Country | US
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Telephone | 614-878-9665
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Fax | 614-878-4660
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Provider Business Mailing Address
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Address Line | 5212 W BROAD ST
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City | COLUMBUS
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State | OH
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Zip | 43228-1642
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Country | US
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Telephone | 614-878-9665
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Fax | 614-878-4660
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Authorized Official
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Title or Position | MANAGER
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Name | DEBRA STEUER
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Credential | RPH
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Telephone | 614-878-9665
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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 | 020150350
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License Number State | OH
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