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General NPI Number Information
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NPI Number | 1891878583
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Entity Type | Organization
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Legal Business Name | MONROE PHARMACY INC
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 02/02/2010
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Provider Practice Location Address
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Address Line | 4122 MONROE ST
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City | TOLEDO
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State | OH
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Zip | 43606
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Country | US
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Telephone | 419-473-1531
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Fax | 419-472-1146
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Provider Business Mailing Address
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Address Line | 4122 MONROE ST
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City | TOLEDO
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State | OH
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Zip | 43606
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRES
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Name | MR. EDWARD MARTIN DOLIN
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Credential | RPH
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Telephone | 419-473-1531
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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 | 020118800
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License Number State | OH
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