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General NPI Number Information
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NPI Number | 1992511513
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Entity Type | Organization
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Legal Business Name | INTRA-NATIONAL PHARMACY CINCINNATI LLC
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Dates
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Enumeration Date | 12/09/2024
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 500 KOLB DR STE 3A
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City | FAIRFIELD
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State | OH
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Zip | 45014-5377
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Country | US
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Telephone | 513-790-9987
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Fax | 513-790-9988
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Provider Business Mailing Address
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Address Line | 500 KOLB DR STE 3A
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City | FAIRFIELD
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State | OH
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Zip | 45014-5377
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Country | US
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Telephone | 513-790-9987
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Fax | 513-790-9988
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Authorized Official
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Title or Position | OWNER
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Name | GOMA ADHIKARI
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Credential |
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Telephone | 513-790-9987
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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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