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General NPI Number Information
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NPI Number | 1184259889
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Entity Type | Organization
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Legal Business Name | U.S. DISCOUNT PHARMACY LLC
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Dates
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Enumeration Date | 03/03/2020
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Last Update Date | 10/21/2021
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Provider Practice Location Address
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Address Line | 30050 HOOVER RD STE G
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City | WARREN
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State | MI
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Zip | 48093-2544
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Country | US
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Telephone | 586-578-9621
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Fax | 586-578-9613
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Provider Business Mailing Address
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Address Line | 30050 HOOVER RD STE G
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City | WARREN
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State | MI
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Zip | 48093-2544
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Country | US
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Telephone | 586-578-9621
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Fax | 586-578-9613
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RAZUR RAHMAN
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Credential | RPH
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Telephone | 313-505-2822
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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 | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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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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