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General NPI Number Information
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NPI Number | 1093444515
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Entity Type | Organization
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Legal Business Name | GOOD BROTHERS PHARMACY LLC
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Dates
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Enumeration Date | 06/09/2022
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Last Update Date | 03/21/2023
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Provider Practice Location Address
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Address Line | 1916 DAVISON RD
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City | FLINT
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State | MI
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Zip | 48506-4423
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Country | US
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Telephone | 810-766-9960
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Fax |
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Provider Business Mailing Address
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Address Line | 1916 DAVISON RD
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City | FLINT
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State | MI
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Zip | 48506-4423
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Country | US
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Telephone | 810-877-0671
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Fax |
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Authorized Official
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Title or Position | PHARMACIST / OWNER
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Name | PIYUSH N PATEL
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Credential |
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Telephone | 810-766-9960
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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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