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General NPI Number Information
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NPI Number | 1053029413
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Entity Type | Organization
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Legal Business Name | MEADOWBROOK DRUGS INC
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Dates
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Enumeration Date | 11/14/2022
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Last Update Date | 11/15/2022
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Provider Practice Location Address
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Address Line | 25500 MEADOWBROOK RD STE 160
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City | NOVI
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State | MI
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Zip | 48375-1881
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Country | US
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Telephone | 248-216-0758
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Fax | 248-468-4370
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Provider Business Mailing Address
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Address Line | 25500 MEADOWBROOK RD STE 160
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City | NOVI
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State | MI
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Zip | 48375-1881
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Country | US
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Telephone | 248-216-0758
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Fax | 248-468-4370
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Authorized Official
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Title or Position | OWNER
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Name | MRS. LOUBNA CHAMI
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Credential | RPH
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Telephone | 248-216-0758
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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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