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Individual

DR. EDWARD PETER CASSIDY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
114 N HIGH ST, COLUMBUS GROVE, OH 45830
(419) 659-2366
(419) 659-2346
Mailing address
PO BOX 126, COLUMBUS GROVE, OH 45830
(419) 659-2366
(419) 659-2346

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03126052
OH

Other

Enumeration date
02/22/2007
Last updated
07/08/2007
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