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General NPI Number Information
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NPI Number | 1982759635
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Entity Type | Organization
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Legal Business Name | MOGANS DRUGS STORE INCORPORATED
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 12/18/2016
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Provider Practice Location Address
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Address Line | 11 N MAPLE ST
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City | ORWELL
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State | OH
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Zip | 44076-9516
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Country | US
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Telephone | 440-437-5151
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Fax | 440-437-8672
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Provider Business Mailing Address
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Address Line | PO BOX 395
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City | ORWELL
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State | OH
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Zip | 44076-0395
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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 | OWNER
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Name | KEVIN SNYDER
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Credential | RPH
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Telephone | 440-437-5151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 020709700
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License Number State | OH
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