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General NPI Number Information
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NPI Number | 1114271855
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Entity Type | Organization
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Legal Business Name | LONG TERM PHARMACEUTICAL SOLUTIONS INC
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Dates
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Enumeration Date | 11/02/2012
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Last Update Date | 03/04/2013
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Provider Practice Location Address
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Address Line | 910 E LINCOLN AVE STE C
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City | IONIA
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State | MI
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Zip | 48846-1393
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Country | US
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Telephone | 616-200-8300
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Fax | 616-200-8383
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Provider Business Mailing Address
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Address Line | 910 E LINCOLN AVE STE C
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City | IONIA
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State | MI
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Zip | 48846-1393
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Country | US
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Telephone | 616-200-8300
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Fax | 616-200-8383
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Authorized Official
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Title or Position | OWNER
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Name | WANSA MAKKI
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Credential |
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Telephone | 313-231-1141
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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 | 5301009948
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License Number State | MI
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