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General NPI Number Information
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NPI Number | 1104719012
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Entity Type | Organization
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Legal Business Name | LONYO MEDICAL PHARMACY LLC.
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Dates
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Enumeration Date | 05/30/2025
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 8835 MICHIGAN AVE STE 120
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City | DETROIT
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State | MI
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Zip | 48210-0708
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Country | US
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Telephone | 313-228-0050
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Fax |
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Provider Business Mailing Address
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Address Line | 10420 W MCNICHOLS RD
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City | DETROIT
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State | MI
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Zip | 48221-2356
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Country | US
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Telephone | 313-635-2788
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Fax | 313-635-2789
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Authorized Official
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Title or Position | OWNER
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Name | DR. HAMDAN ALYAEISHI
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Credential | PHARMD
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Telephone | 313-635-2788
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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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