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General NPI Number Information
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NPI Number | 1114354164
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Entity Type | Organization
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Legal Business Name | PHARMACARXE OF STERLING HEIGHTS LLC
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Dates
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Enumeration Date | 10/07/2013
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Last Update Date | 02/14/2019
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Provider Practice Location Address
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Address Line | 4135 15 MILE RD
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City | STERLING HEIGHTS
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State | MI
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Zip | 48310-5400
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Country | US
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Telephone | 586-268-1888
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Fax | 586-268-1811
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Provider Business Mailing Address
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Address Line | 4135 15 MILE RD
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City | STERLING HEIGHTS
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State | MI
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Zip | 48310-5400
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Country | US
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Telephone | 586-268-1888
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Fax | 586-268-1811
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Authorized Official
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Title or Position | OWNER
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Name | STEPHANIE SAKELLIS
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Credential |
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Telephone | 248-925-7103
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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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