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General NPI Number Information
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NPI Number | 1114856408
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Entity Type | Organization
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Legal Business Name | EVERWELL PHARMACY
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Dates
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Enumeration Date | 05/14/2026
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Last Update Date | 05/14/2026
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Provider Practice Location Address
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Address Line | 22835 VAN DYKE AVE
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City | WARREN
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State | MI
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Zip | 48089-2356
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Country | US
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Telephone | 313-589-0404
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Fax |
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Provider Business Mailing Address
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Address Line | 22835 VAN DYKE AVE
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City | WARREN
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State | MI
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Zip | 48089-2356
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Country | US
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Telephone | 313-589-0404
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Fax |
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Authorized Official
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Title or Position | OWNER/MEMBER
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Name | TAHMINA BEGUM
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Credential |
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Telephone | 313-589-0404
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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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