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General NPI Number Information
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NPI Number | 1053402867
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Entity Type | Organization
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Legal Business Name | SUTTONS DRUG INC
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 12101 JOSEPH CAMPAU ST STE 1
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City | HAMTRAMCK
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State | MI
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Zip | 48212-2590
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Country | US
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Telephone | 313-305-4746
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Fax | 313-305-4759
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Provider Business Mailing Address
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Address Line | 12101 JOSEPH CAMPAU ST STE 1
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City | HAMTRAMCK
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State | MI
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Zip | 48212-2590
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Country | US
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Telephone | 313-305-4746
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Fax | 313-305-4759
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Authorized Official
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Title or Position | CEO/PIC
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Name | THAMER S ALKHATEEB
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Credential | PHARMD
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Telephone | 313-722-0162
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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 | 5301007363
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License Number State | MI
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