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General NPI Number Information
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NPI Number | 1295875284
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Entity Type | Organization
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Legal Business Name | CENTRAL PHARMACY- EATON RAPIDS, LLC
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 08/17/2020
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Provider Practice Location Address
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Address Line | 122-124 S MAIN STREET
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City | EATON RAPIDS
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State | MI
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Zip | 48827-1068
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Country | US
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Telephone | 517-663-6811
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Fax | 517-663-1732
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Provider Business Mailing Address
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Address Line | 122-124 S MAIN STREET
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City | EATON RAPIDS
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State | MI
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Zip | 48827-1068
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Country | US
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Telephone | 517-663-6811
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Fax | 517-663-1732
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Authorized Official
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Title or Position | MEMBER
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Name | DR. KINGSLEY ABOAGYE
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Credential | PHARM.D
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Telephone | 517-402-8256
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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 | 5301000426
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License Number State | MI
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