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General NPI Number Information
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NPI Number | 1912527979
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Entity Type | Organization
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Legal Business Name | WELLNESS 1 PHARMACY - MASON INC
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Dates
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Enumeration Date | 04/20/2020
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Last Update Date | 10/23/2023
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Provider Practice Location Address
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Address Line | 6681 WESTERN ROW RD
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City | MASON
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State | OH
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Zip | 45040-1305
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Country | US
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Telephone | 513-548-0022
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Fax | 513-548-0023
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Provider Business Mailing Address
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Address Line | 6681 WESTERN ROW RD
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City | MASON
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State | OH
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Zip | 45040-1305
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Country | US
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Telephone | 513-548-0022
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Fax | 513-548-0023
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MR. AYMAN FATHI YAHYA
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Credential | PHARMD
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Telephone | 513-515-9366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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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 | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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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 |
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