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General NPI Number Information
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NPI Number | 1205047123
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Entity Type | Organization
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Legal Business Name | R&G PHARMACY
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 07/28/2008
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Provider Practice Location Address
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Address Line | 1039 EMERICK ST
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City | YPSILANTI
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State | MI
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Zip | 48198-6310
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Country | US
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Telephone | 734-485-7132
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Fax |
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Provider Business Mailing Address
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Address Line | 1039 EMERICK ST 1039 EMERICK STREET
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City | YPSILANTI
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State | MI
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Zip | 48198-6310
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Country | US
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Telephone | 734-485-7132
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Fax | 734-485-7162
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Authorized Official
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Title or Position | PHARMACIST
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Name | DR. REMY ONIMOE
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Credential | PHARM-D
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Telephone | 734-484-7132
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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 | 5301008614
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License Number State | MI
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