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General NPI Number Information
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NPI Number | 1104265511
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Entity Type | Organization
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Legal Business Name | INFINITY DRUGS LLC
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Dates
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Enumeration Date | 06/19/2013
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Last Update Date | 03/09/2021
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Provider Practice Location Address
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Address Line | 11521 JOSEPH CAMPAU ST
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City | HAMTRAMCK
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State | MI
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Zip | 48212-3050
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Country | US
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Telephone | 313-733-6098
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Fax | 313-334-5094
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Provider Business Mailing Address
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Address Line | 11521 JOSEPH CAMPAU ST
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City | HAMTRAMCK
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State | MI
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Zip | 48212-3050
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Country | US
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Telephone | 313-733-6098
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Fax | 313-334-5094
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Authorized Official
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Title or Position | PHARMACIST/OWNER
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Name | ALI THABET
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Credential | PHARM D
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Telephone | 313-743-4064
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 5301010122
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License Number State | MI
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