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General NPI Number Information
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NPI Number | 1063563930
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Entity Type | Organization
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Legal Business Name | HILLMAN PHARMACY INC
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 03/16/2016
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Provider Practice Location Address
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Address Line | 601 STATE ST
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City | HILLMAN
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State | MI
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Zip | 49746-9511
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Country | US
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Telephone | 989-742-3527
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Fax | 989-742-3567
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Provider Business Mailing Address
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Address Line | 601 STATE ST
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City | HILLMAN
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State | MI
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Zip | 49746-9511
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Country | US
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Telephone | 989-742-3527
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Fax | 989-742-3567
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Authorized Official
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Title or Position | OWNER
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Name | MR. DAN L KANGAS
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Credential | RPH
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Telephone | 989-742-3527
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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 | 5301005816
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License Number State | MI
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