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General NPI Number Information
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NPI Number | 1912728601
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Entity Type | Organization
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Legal Business Name | RISER FOODS COMPANY
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Dates
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Enumeration Date | 10/24/2024
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | 2275 LOCUST ST S
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City | CANAL FULTON
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State | OH
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Zip | 44614-9387
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Country | US
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Telephone | 412-963-6200
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 643559
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City | PITTSBURGH
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State | PA
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Zip | 15264-3559
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Country | US
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Telephone | 412-963-6200
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & EVP OF PHARMACY
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Name | JAMES TSIPAKIS
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Credential |
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Telephone | 412-963-6200
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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 |
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