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General NPI Number Information
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NPI Number | 1932190923
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Entity Type | Organization
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Legal Business Name | DANVILLE PHARMACY INC
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Dates
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Enumeration Date | 10/31/2005
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Last Update Date | 02/08/2017
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Provider Practice Location Address
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Address Line | 10 E. MAIN ST.
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City | DANVILLE
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State | OH
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Zip | 43014-0070
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Country | US
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Telephone | 740-599-6744
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Fax | 740-599-6799
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Provider Business Mailing Address
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Address Line | 10 E. MAIN ST.
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City | DANVILLE
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State | OH
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Zip | 43014-0070
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Country | US
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Telephone | 740-599-6744
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Fax | 740-599-6799
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ERIC D SIEKKINEN
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Credential | R.PH.
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Telephone | 740-599-6744
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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 | 020636650
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License Number State | OH
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