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General NPI Number Information
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NPI Number | 1164437752
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Entity Type | Organization
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Legal Business Name | THRIFTY DRUGS CO
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 12/03/2007
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Provider Practice Location Address
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Address Line | 5240 LAPEER RD
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City | BURTON
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State | MI
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Zip | 48509-2022
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Country | US
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Telephone | 810-743-6915
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Fax | 810-742-7880
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Provider Business Mailing Address
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Address Line | 5240 LAPEER RD
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City | BURTON
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State | MI
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Zip | 48509-2022
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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 PHARMACIST
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Name | BRUCE WILLIAMS
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Credential |
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Telephone | 860-743-6915
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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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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 5301004972
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License Number State | MI
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