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General NPI Number Information
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NPI Number | 1811337363
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Entity Type | Organization
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Legal Business Name | THE PHARMACY COUNTER, LLC
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Dates
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Enumeration Date | 06/28/2013
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Last Update Date | 06/18/2014
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Provider Practice Location Address
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Address Line | 2142 N COVE BLVD
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City | TOLEDO
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State | OH
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Zip | 43606-3895
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Country | US
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Telephone | 419-291-5418
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Fax | 419-479-6927
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Provider Business Mailing Address
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Address Line | PO BOX 636599
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City | CINCINNATI
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State | OH
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Zip | 45263-6599
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Country | US
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Telephone | 419-473-1493
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MATT BODENSTEDT
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Credential |
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Telephone | 419-473-1493
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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 | OH
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