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General NPI Number Information
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NPI Number | 1144709767
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Entity Type | Organization
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Legal Business Name | WESTSIDE DRUGS LLC
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Dates
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Enumeration Date | 08/14/2018
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Last Update Date | 10/25/2018
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Provider Practice Location Address
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Address Line | 100 S MICHIGAN AVE STE 1
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City | SAGINAW
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State | MI
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Zip | 48602-2054
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Country | US
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Telephone | 989-596-2000
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Fax | 989-596-2001
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Provider Business Mailing Address
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Address Line | 5388 OAKBROOK DR
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City | SAGINAW
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State | MI
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Zip | 48603-8617
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Country | US
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Telephone | 586-698-2468
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Fax | 989-596-2001
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Authorized Official
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Title or Position | OWNER
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Name | RAMANACHIAR THIRUMALAI
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Credential |
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Telephone | 989-596-2000
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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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