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General NPI Number Information
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NPI Number | 1841281029
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Entity Type | Organization
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Legal Business Name | MISH INC
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Dates
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Enumeration Date | 11/04/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 19 N MECHANIC ST
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City | LEBANON
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State | OH
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Zip | 45036-1801
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Country | US
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Telephone | 513-932-2911
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Fax | 513-932-4905
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Provider Business Mailing Address
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Address Line | 19 N MECHANIC ST
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City | LEBANON
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State | OH
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Zip | 45036-1801
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Country | US
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Telephone | 513-932-2911
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Fax | 513-932-4905
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | MR. MICHAEL A KEMNER
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Credential | R.P.H
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Telephone | 513-932-2911
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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 | 02-125350
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License Number State | OH
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