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General NPI Number Information
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NPI Number | 1770514994
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Entity Type | Organization
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Legal Business Name | CUYAHOGA FALLS GENERAL HOSPITAL RETAIL PHARMACY, INC.
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1900 23RD ST
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City | CUYAHOGA FALLS
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State | OH
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Zip | 44223-1404
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Country | US
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Telephone | 330-971-7000
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Fax | 330-971-7277
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Provider Business Mailing Address
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Address Line | 1900 23RD ST
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City | CUYAHOGA FALLS
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State | OH
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Zip | 44223-1404
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Country | US
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Telephone | 330-971-7000
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Fax | 330-971-7277
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Authorized Official
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Title or Position | VP OF FINANCE, CFO
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Name | MR. JOHN BROCKETTI
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Credential |
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Telephone | 330-971-7438
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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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