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General NPI Number Information
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NPI Number | 1083523294
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Entity Type | Organization
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Legal Business Name | UNIONVILLE DISCOUNT PHARMACY INC
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Dates
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Enumeration Date | 09/03/2026
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Last Update Date | 09/03/2026
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Provider Practice Location Address
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Address Line | 1377 PIO NONO AVE
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City | MACON
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State | GA
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Zip | 31204-4633
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Country | US
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Telephone | 478-746-8331
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Fax | 478-742-1428
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Provider Business Mailing Address
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Address Line | 1377 PIO NONO AVE
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City | MACON
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State | GA
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Zip | 31204-4633
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Country | US
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Telephone | 478-746-8331
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Fax | 478-742-1428
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL OGBENNA ITEOGU
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Credential | PHARM.D.
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Telephone | 478-957-3370
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number |
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License Number State |
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