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NPI 1790849990

NPI 1790849990 : SHARROW DRUGS, INC : COLUMBUS, WI

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General NPI Number Information
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    NPI Number           |    1790849990
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    Entity Type          |    Organization 
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    Legal Business Name  |    SHARROW DRUGS, INC 
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Dates
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    Enumeration Date     |    12/21/2006
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    100 S LUDINGTON ST 
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    City                 |    COLUMBUS
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    State                |    WI
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    Zip                  |    53925-1516
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    Country              |    US
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    Telephone            |    920-623-2700
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    Fax                  |    920-623-3749
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Provider Business Mailing Address
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    Address Line         |    100 S LUDINGTON ST 
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    City                 |    COLUMBUS
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    State                |    WI
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    Zip                  |    53925-1516
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    Country              |    US
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    Telephone            |    920-623-2700
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    Fax                  |    920-623-3749
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     NICHOLAS L SHARROW 
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    Credential           |    RPH
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    Telephone            |    920-623-2700
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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       |    6614-042
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    License Number State |    WI
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