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General NPI Number Information
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NPI Number | 1992266506
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Entity Type | Organization
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Legal Business Name | PREMIER CARE PHARMACY
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Dates
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Enumeration Date | 03/27/2019
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Last Update Date | 11/09/2020
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Provider Practice Location Address
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Address Line | 867 W TOWN ST
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City | COLUMBUS
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State | OH
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Zip | 43222-1662
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Country | US
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Telephone | 614-725-1340
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Fax | 202-991-2612
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Provider Business Mailing Address
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Address Line | 867 W TOWN ST
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City | COLUMBUS
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State | OH
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Zip | 43222-1662
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Country | US
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Telephone | 614-869-7365
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | THOMAS MOX
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Credential |
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Telephone | 614-725-1340
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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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