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General NPI Number Information
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NPI Number | 1962569889
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Entity Type | Organization
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Legal Business Name | COLONY PHARMACY, INC
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 2655 W CENTRAL AVE
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City | TOLEDO
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State | OH
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Zip | 43606-3550
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Country | US
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Telephone | 419-473-1493
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Fax | 419-473-1529
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Provider Business Mailing Address
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Address Line | 2655 W CENTRAL AVE
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City | TOLEDO
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State | OH
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Zip | 43606-3550
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Country | US
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Telephone | 419-473-1493
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Fax | 419-473-1529
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. DENNIS DON NEWSOM
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Credential | RPH
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Telephone | 419-473-1493
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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 | OH
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