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NPI 1952000408

NPI 1952000408 : STOW-KENT COMMUNITY PHARMACY,LLC : STOW, OH

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General NPI Number Information
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    NPI Number           |    1952000408
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    Entity Type          |    Organization 
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    Legal Business Name  |    STOW-KENT COMMUNITY PHARMACY,LLC 
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Dates
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    Enumeration Date     |    02/23/2023
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    Last Update Date     |    02/26/2025
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Provider Practice Location Address
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    Address Line         |    3285 KENT RD 
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    City                 |    STOW
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    State                |    OH
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    Zip                  |    44224-4501
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    Country              |    US
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    Telephone            |    440-525-0956
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3285 KENT RD 
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    City                 |    STOW
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    State                |    OH
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    Zip                  |    44224-4501
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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    |    PIC/OWNER
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    Name                 |     ZACHARY  LEONATTI 
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    Credential           |    
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    Telephone            |    330-572-2640
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3336L0003X
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    Taxonomy Name        |    Long Term Care Pharmacy
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    License Number       |    
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    License Number State |    
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