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General NPI Number Information
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NPI Number | 1316755325
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Entity Type | Organization
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Legal Business Name | HOPPS PHARMACY LLC
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Dates
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Enumeration Date | 12/21/2024
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Last Update Date | 12/21/2024
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Provider Practice Location Address
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Address Line | 126 W MAIN ST
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City | HOMER
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State | MI
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Zip | 49245-1046
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Country | US
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Telephone | 313-564-7736
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Fax |
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Provider Business Mailing Address
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Address Line | 7244 HARTWELL ST
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City | DEARBORN
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State | MI
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Zip | 48126-1522
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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 | MUNA ALSUBARI
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Credential |
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Telephone | 313-564-7736
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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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