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NPI 1255739280

NPI 1255739280 : I PHARMACY 2 LLC : LIVONIA, MI

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General NPI Number Information
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    NPI Number           |    1255739280
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    Entity Type          |    Organization 
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    Legal Business Name  |    I PHARMACY 2 LLC 
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Dates
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    Enumeration Date     |    12/08/2014
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    Last Update Date     |    10/03/2025
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Provider Practice Location Address
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    Address Line         |    31193 PLYMOUTH RD 
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    City                 |    LIVONIA
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    State                |    MI
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    Zip                  |    48150-2103
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    Country              |    US
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    Telephone            |    734-743-5055
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    Fax                  |    734-743-5084
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Provider Business Mailing Address
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    Address Line         |    31193 PLYMOUTH RD 
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    City                 |    LIVONIA
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    State                |    MI
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    Zip                  |    48150-2103
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    Country              |    US
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    Telephone            |    734-743-5055
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    Fax                  |    734-743-5084
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Authorized Official
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    Title or Position    |    OWNER, AO
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    Name                 |     ROUDY  NAJM 
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    Credential           |    PIC
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    Telephone            |    810-333-2828
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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        |    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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Taxonomy #3
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    Taxonomy Code        |    3336C0004X
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    Taxonomy Name        |    Compounding Pharmacy
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    3336C0003X
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    Taxonomy Name        |    Community/Retail Pharmacy
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    License Number       |    5301010607
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    License Number State |    MI
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