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General NPI Number Information
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NPI Number | 1174537484
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Entity Type | Organization
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Legal Business Name | BATTLE CREEK HEALTH SYSTEM PUBLIC PHARMACY
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Dates
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Enumeration Date | 07/29/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 363 FREMONT ST SUITE 201
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City | BATTLE CREEK
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State | MI
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Zip | 49017-3389
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Country | US
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Telephone | 269-966-8646
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Fax | 269-966-8648
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Provider Business Mailing Address
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Address Line | 363 FREMONT ST SUITE 201
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City | BATTLE CREEK
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State | MI
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Zip | 49017-3389
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Country | US
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Telephone | 269-966-8646
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Fax | 269-966-8648
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Authorized Official
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Title or Position | MANAGER
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Name | JAMES W. DAVIS
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Credential | RPH
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Telephone | 269-966-8646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5301006727
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License Number State | MI
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