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General NPI Number Information
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NPI Number | 1174227839
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Entity Type | Organization
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Legal Business Name | PEOPLE & PETS PHARMACY, LLC.
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Dates
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Enumeration Date | 03/28/2023
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 9995 E GRAND RIVER AVE
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City | BRIGHTON
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State | MI
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Zip | 48116-1923
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Country | US
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Telephone | 810-306-2686
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Fax | 810-306-2688
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Provider Business Mailing Address
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Address Line | 7915 KENSINGTON COURT
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City | BRIGHTON
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State | MI
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Zip | 48116
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Country | US
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Telephone | 248-446-0100
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Fax | 248-446-0300
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Authorized Official
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Title or Position | CEO
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Name | MR. PETER LYDERS-PETERSEN
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Credential |
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Telephone | 248-563-8000
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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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