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General NPI Number Information
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NPI Number | 1083184063
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Entity Type | Organization
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Legal Business Name | CENTRAL PHARMACY - EAST LANSING
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Dates
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Enumeration Date | 12/03/2018
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Last Update Date | 09/16/2024
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Provider Practice Location Address
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Address Line | 248 E SAGINAW ST STE 5
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City | EAST LANSING
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State | MI
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Zip | 48823-2760
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Country | US
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Telephone | 517-580-4216
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Fax | 517-580-4706
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Provider Business Mailing Address
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Address Line | 248 E SAGINAW ST STE 5
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City | EAST LANSING
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State | MI
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Zip | 48823-2760
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Country | US
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Telephone | 517-580-4216
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Fax | 517-580-4706
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Authorized Official
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Title or Position | MEMBER
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Name | KINGSLEY ABOAGYE
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Credential |
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Telephone | 517-663-6811
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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 |
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License Number State |
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