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General NPI Number Information
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NPI Number | 1245164953
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Entity Type | Organization
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Legal Business Name | LT BROTHERS LLC
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Dates
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Enumeration Date | 06/09/2026
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Last Update Date | 06/09/2026
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Provider Practice Location Address
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Address Line | 122 W PIERSON RD
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City | FLINT
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State | MI
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Zip | 48505-3348
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Country | US
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Telephone | 810-228-4626
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Fax |
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Provider Business Mailing Address
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Address Line | 122 W PIERSON RD
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City | FLINT
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State | MI
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Zip | 48505-3348
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Country | US
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Telephone | 810-228-4626
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Fax |
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | MR. BIMAL PATEL
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Credential | RPH
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Telephone | 810-228-4626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty 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 | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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