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General NPI Number Information
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NPI Number | 1770657298
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Entity Type | Organization
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Legal Business Name | RMH RETAIL PHARMACY LLC
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 02/27/2017
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Provider Practice Location Address
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Address Line | 1500 N JAMES ST
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City | ROME
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State | NY
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Zip | 13440-2844
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Country | US
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Telephone | 315-338-7690
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Fax | 315-338-7697
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Provider Business Mailing Address
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Address Line | 1500 N JAMES ST
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City | ROME
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State | NY
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Zip | 13440-2844
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Country | US
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Telephone | 315-338-7690
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Fax | 315-338-7697
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Authorized Official
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Title or Position | SUPERVISING PHARMACIST
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Name | BRIANNA BROGNANO
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Credential | R PH
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Telephone | 315-338-7690
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care 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 | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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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 #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 024915
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License Number State | NY
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