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General NPI Number Information
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NPI Number | 1225691157
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Entity Type | Organization
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Legal Business Name | MY CARE PHARMACY L.L.C.
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Dates
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Enumeration Date | 04/16/2019
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 6200 CHASE RD
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City | DEARBORN
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State | MI
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Zip | 48126-2108
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Country | US
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Telephone | 313-451-8730
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Fax |
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Provider Business Mailing Address
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Address Line | 6200 CHASE RD
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City | DEARBORN
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State | MI
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Zip | 48126-2108
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SAM OZEIR
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Credential | PHARM D.
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Telephone | 313-478-5634
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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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