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General NPI Number Information
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NPI Number | 1952943375
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Entity Type | Organization
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Legal Business Name | KRATZER PHARMACY INC.
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Dates
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Enumeration Date | 10/17/2019
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Last Update Date | 10/17/2019
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Provider Practice Location Address
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Address Line | 118 W MAIN ST STE D
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City | LEBANON
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State | OH
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Zip | 45036-2098
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Country | US
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Telephone | 513-228-1800
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Fax |
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Provider Business Mailing Address
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Address Line | 179 W LOCUST ST
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City | WILMINGTON
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State | OH
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Zip | 45177-2180
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Country | US
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Telephone | 937-382-0081
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MARK A KRATZER
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Credential |
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Telephone | 937-382-0081
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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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