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General NPI Number Information
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NPI Number | 1932274099
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Entity Type | Organization
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Legal Business Name | DERRY DRUGS INC
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Dates
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Enumeration Date | 11/22/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1191 WESTWOOD DR
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City | VAN WERT
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State | OH
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Zip | 45891
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Country | US
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Telephone | 419-238-1318
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Fax | 419-238-4183
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Provider Business Mailing Address
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Address Line | 1191 WESTWOOD DR
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City | VAN WERT
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State | OH
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Zip | 45891
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Country | US
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Telephone | 419-238-1318
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Fax | 419-238-4183
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Authorized Official
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Title or Position | PHARMACIST OWNER
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Name | MR. PAUL WILLIAM SVABIK
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Credential | RPH
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Telephone | 419-238-1318
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number |
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License Number State | OH
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