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General NPI Number Information
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NPI Number | 1033425129
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Entity Type | Organization
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Legal Business Name | FOOD VALUE & PHARMACY CORP
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Dates
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Enumeration Date | 08/26/2010
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Last Update Date | 02/06/2024
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Provider Practice Location Address
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Address Line | 957 W MIDLAND RD
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City | AUBURN
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State | MI
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Zip | 48611-9406
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Country | US
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Telephone | 989-662-7773
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Fax | 989-662-7778
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Provider Business Mailing Address
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Address Line | 957 W MIDLAND RD
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City | AUBURN
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State | MI
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Zip | 48611-9406
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Country | US
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Telephone | 989-662-7773
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Fax | 989-662-7778
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CHANDRESH AMIN
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Credential |
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Telephone | 989-755-7890
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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 | 5301009408
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License Number State | MI
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