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General NPI Number Information
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NPI Number | 1871019984
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Entity Type | Organization
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Legal Business Name | DOCTORS PHARMACY
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Dates
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Enumeration Date | 08/21/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 4878 W BROAD ST
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City | COLUMBUS
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State | OH
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Zip | 43228-1602
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Country | US
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Telephone | 614-705-6222
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Fax |
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Provider Business Mailing Address
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Address Line | 4878 W BROAD ST
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City | COLUMBUS
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State | OH
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Zip | 43228-1602
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Country | US
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Telephone | 614-705-6222
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Fax |
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Authorized Official
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Title or Position | CLINICAL PHARMACIST
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Name | DR. EMMANUEL WOBIL QUAINOO
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Credential |
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Telephone | 614-705-6222
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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 | 022772500
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License Number State | OH
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