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General NPI Number Information
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NPI Number | 1790340404
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Entity Type | Organization
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Legal Business Name | OHIO STATE UNIVERSITY OUTPATIENT PHARMACY
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Dates
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Enumeration Date | 05/08/2019
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 410 W 10TH AVE RM 111
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City | COLUMBUS
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State | OH
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Zip | 43210-1240
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Country | US
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Telephone | 614-293-9795
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Fax | 614-293-9797
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Provider Business Mailing Address
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Address Line | 600 ACKERMAN RD # E1014
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City | COLUMBUS
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State | OH
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Zip | 43202-4500
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Country | US
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Telephone | 614-685-4188
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Fax | 614-366-0097
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Authorized Official
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Title or Position | CHIEF PHARMACY OFFICER
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Name | DR. TRISHA JORDAN
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Credential | PHARMD
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Telephone | 614-293-8470
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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