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General NPI Number Information
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NPI Number | 1952343303
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Entity Type | Organization
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Legal Business Name | MEDSMART CO OP PHARMACY
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 8044 E MARKET ST
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City | WARREN
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State | OH
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Zip | 44484-2258
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Country | US
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Telephone | 330-856-6780
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Fax | 330-856-9069
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Provider Business Mailing Address
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Address Line | 8044 E MARKET ST
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City | WARREN
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State | OH
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Zip | 44484-2258
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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 | STORE MANAGER
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Name | AMANDA STEWART
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Credential | RPH
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Telephone | 330-856-1198
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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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Taxonomy #2
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Taxonomy Code | 3336M0003X
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Taxonomy Name | Managed Care Organization 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 | OH
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