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General NPI Number Information
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NPI Number | 1336289024
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Entity Type | Organization
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Legal Business Name | PHARMALOGICS, INC.
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 05/21/2010
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Provider Practice Location Address
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Address Line | 17515 W 9 MILE RD SUITE 360
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City | SOUTHFIELD
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State | MI
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Zip | 48075-4403
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Country | US
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Telephone | 248-552-0070
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Fax |
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Provider Business Mailing Address
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Address Line | 17515 W 9 MILE RD SUITE 360
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City | SOUTHFIELD
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State | MI
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Zip | 48075-4403
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Country | US
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Telephone | 248-552-0070
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Fax |
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Authorized Official
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Title or Position | VICE-PRESIDENT
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Name | MR. EARL PHILIP COLE
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Credential | MS R.PH
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Telephone | 248-552-0070
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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 | 5301005992
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License Number State | MI
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