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General NPI Number Information
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NPI Number | 1205346509
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Entity Type | Organization
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Legal Business Name | ACE PHARMACY LLC
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Dates
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Enumeration Date | 10/02/2017
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 29255 NORTHWESTERN HWY SUITE 101
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City | SOUTHFIELD
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State | MI
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Zip | 48034-1018
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Country | US
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Telephone | 248-469-4469
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Fax | 248-468-0662
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Provider Business Mailing Address
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Address Line | 7651 SCHAEFER RD
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City | DEARBORN
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State | MI
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Zip | 48126-1143
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Country | US
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Telephone | 248-469-4469
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALI FARHAT
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Credential |
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Telephone | 248-469-4469
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 5301011263
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License Number State | MI
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