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General NPI Number Information
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NPI Number | 1326492471
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Entity Type | Organization
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Legal Business Name | POINTE PHARMACY PLLC
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Dates
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Enumeration Date | 04/14/2016
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Last Update Date | 04/14/2016
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Provider Practice Location Address
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Address Line | 5494 S DORT HWY
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City | FLINT
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State | MI
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Zip | 48507-4483
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Country | US
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Telephone | 810-866-4520
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Fax | 810-866-4519
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Provider Business Mailing Address
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Address Line | 5494 S DORT HWY
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City | FLINT
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State | MI
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Zip | 48507-4483
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Country | US
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Telephone | 810-866-4520
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Fax | 810-866-4519
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | DR. ABUSUFIAN ELTAIB ELTAHIR
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Credential | PHARM.D
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Telephone | 810-280-0103
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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 | 5301010916
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License Number State | MI
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