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General NPI Number Information
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NPI Number | 1750436432
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Entity Type | Organization
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Legal Business Name | FOSTORIA HOSPITAL ASSOCIATION
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 07/19/2018
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Provider Practice Location Address
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Address Line | 501 VAN BUREN ST
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City | FOSTORIA
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State | OH
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Zip | 44830-1534
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Country | US
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Telephone | 419-435-6560
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Fax | 419-435-6562
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Provider Business Mailing Address
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Address Line | 501 VAN BUREN ST SUITE 101
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City | FOSTORIA
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State | OH
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Zip | 44830
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Country | US
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Telephone | 419-435-6560
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Fax | 419-435-6562
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | BRYAN COEHRS
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Credential | PHARMD
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Telephone | 567-585-3041
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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 | 021663150
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License Number State | OH
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