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General NPI Number Information
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NPI Number | 1124071519
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Entity Type | Organization
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Legal Business Name | FIRST CHOICE PHARMACY
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 411 GREENVILLE PLAZA DR
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City | GREENVILLE
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State | MI
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Zip | 48838-9142
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Country | US
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Telephone | 616-754-7852
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Fax | 616-754-6072
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Provider Business Mailing Address
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Address Line | 411 GREENVILLE PLAZA DR
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City | GREENVILLE
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State | MI
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Zip | 48838-9142
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Country | US
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Telephone |
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Fax | 616-754-6072
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Authorized Official
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Title or Position | PHARMACIST
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Name | RICHARD HARVEY
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Credential |
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Telephone | 616-754-7852
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 5301003552
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License Number State | MI
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