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General NPI Number Information
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NPI Number | 1265778385
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Entity Type | Organization
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Legal Business Name | RX DISCOUNT PHARMACY
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Dates
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Enumeration Date | 12/18/2012
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Last Update Date | 11/19/2021
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Provider Practice Location Address
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Address Line | 6811 ALLEN RD
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City | ALLEN PARK
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State | MI
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Zip | 48101
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Country | US
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Telephone | 313-928-2225
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Fax | 313-928-2225
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Provider Business Mailing Address
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Address Line | 6811 ALLEN RD
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City | ALLEN PARK
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State | MI
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Zip | 48101
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Country | US
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Telephone | 313-523-6789
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. HAROUN FAWZI ODEH
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Credential |
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Telephone | 313-443-0948
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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