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General NPI Number Information
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NPI Number | 1225130651
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Entity Type | Organization
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Legal Business Name | HOPPS COLONIAL PHARMACY
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Dates
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Enumeration Date | 09/05/2006
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Last Update Date | 11/12/2015
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Provider Practice Location Address
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Address Line | 111 MARSHALL ST
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City | LITCHFIELD
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State | MI
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Zip | 49252-9355
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Country | US
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Telephone | 517-542-7770
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Fax | 517-542-7771
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Provider Business Mailing Address
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Address Line | PO BOX 453
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City | LITCHFIELD
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State | MI
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Zip | 49252-0453
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Country | US
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Telephone | 517-542-7770
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Fax | 517-542-7771
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Authorized Official
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Title or Position | OWNER
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Name | TOM SAWDEY
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Credential |
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Telephone | 517-542-7770
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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 | 5301007663
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License Number State | MI
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