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General NPI Number Information
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NPI Number | 1114929874
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Entity Type | Organization
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Legal Business Name | OCEAN PHARMACY INC.
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Dates
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Enumeration Date | 08/12/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 25416 GODDARD RD
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City | TAYLOR
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State | MI
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Zip | 48180-6200
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Country | US
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Telephone | 313-291-1100
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Fax | 313-291-1308
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Provider Business Mailing Address
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Address Line | 25416 GODDARD RD
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City | TAYLOR
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State | MI
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Zip | 48180-6200
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Country | US
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Telephone | 313-291-1100
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Fax | 313-291-1308
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CARL F DEMPICH
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Credential | PHARMACIST
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Telephone | 313-291-1100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5302023943
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License Number State | MI
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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 | 5301006897
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License Number State | MI
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