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General NPI Number Information
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NPI Number | 1134383011
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Entity Type | Organization
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Legal Business Name | BEECHER PHARMACY LLC
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Dates
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Enumeration Date | 07/10/2008
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Last Update Date | 07/10/2008
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Provider Practice Location Address
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Address Line | G 6061 N SAGINAW ST
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City | MOUNT MORRIS
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State | MI
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Zip | 48458
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Country | US
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Telephone | 810-787-4147
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Fax | 810-787-4174
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Provider Business Mailing Address
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Address Line | G 6061 N SAGINAW ST
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City | MOUNT MORRIS
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State | MI
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Zip | 48458
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ASMITABEN PATEL
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Credential |
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Telephone | 810-410-8461
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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 | 5301008888
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License Number State | MI
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