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General NPI Number Information
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NPI Number | 1184096653
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Entity Type | Organization
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Legal Business Name | PHARMACY COUNTER, LLC
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Dates
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Enumeration Date | 10/23/2015
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Last Update Date | 04/12/2018
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Provider Practice Location Address
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Address Line | 1070 N MONROE ST SUITE C
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City | MONROE
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State | MI
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Zip | 48162-3113
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Country | US
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Telephone | 734-240-8888
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Fax | 734-240-8899
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Provider Business Mailing Address
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Address Line | 2655 W CENTRAL AVE
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City | TOLEDO
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State | OH
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Zip | 43606-3550
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Country | US
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Telephone | 419-473-1493
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Fax | 419-474-7137
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MS. MISSY CROSS
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Credential |
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Telephone | 419-473-1493
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | MI
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