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General NPI Number Information
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NPI Number | 1295924488
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Entity Type | Organization
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Legal Business Name | SAVEWAY PHARMACY
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Dates
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Enumeration Date | 10/24/2007
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Last Update Date | 12/19/2007
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Provider Practice Location Address
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Address Line | 5640 W VERNOR HWY
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City | DETROIT
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State | MI
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Zip | 48209-2158
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Country | US
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Telephone | 313-849-5550
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Fax | 313-849-5591
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Provider Business Mailing Address
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Address Line | 5640 W VERNOR HWY
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City | DETROIT
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State | MI
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Zip | 48209-2158
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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 | WALID HASAN
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Credential | RPH
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Telephone | 313-849-5550
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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 | 5301008719
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License Number State | MI
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