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General NPI Number Information
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NPI Number | 1790876985
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Entity Type | Organization
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Legal Business Name | COLER DRUG NELSONVILLE
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 04/02/2020
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Provider Practice Location Address
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Address Line | 40 WATKINS ST
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City | NELSONVILLE
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State | OH
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Zip | 45764
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Country | US
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Telephone | 740-753-2484
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Fax | 740-753-4185
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Provider Business Mailing Address
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Address Line | 40 WATKINS ST.
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City | NELSONVILLE
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State | OH
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Zip | 45764-1452
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Country | US
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Telephone | 740-753-2484
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Fax | 740-753-4185
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Authorized Official
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Title or Position | MANAGER/OWNER
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Name | MR. JOHN E COLER
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Credential | RPH.
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Telephone | 740-452-7685
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 02-1924250
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License Number State | OH
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