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General NPI Number Information
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NPI Number | 1023287422
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Entity Type | Organization
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Legal Business Name | RXPERTS PHARMACY MICHIGAN LLC
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Dates
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Enumeration Date | 02/29/2008
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Last Update Date | 03/19/2013
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Provider Practice Location Address
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Address Line | 9131 GENERAL CT STE 150
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City | PLYMOUTH
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State | MI
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Zip | 48170-4621
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Country | US
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Telephone | 734-416-1717
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Fax | 855-288-6108
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Provider Business Mailing Address
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Address Line | 9131 GENERAL CT STE 150
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City | PLYMOUTH
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State | MI
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Zip | 48170-4621
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Country | US
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Telephone | 734-451-5278
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Fax | 734-451-5907
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Authorized Official
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Title or Position | CEO
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Name | ROBERT GIBBER
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Credential |
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Telephone | 312-656-0882
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 5301008829
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 64001242A
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License Number State | IN
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