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General NPI Number Information
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NPI Number | 1336496686
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Entity Type | Organization
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Legal Business Name | K A & N DRUGS INC
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Dates
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Enumeration Date | 08/06/2012
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Last Update Date | 12/21/2012
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Provider Practice Location Address
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Address Line | 1695 W 12 MILE RD STE 215
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City | BERKLEY
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State | MI
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Zip | 48072-2182
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Country | US
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Telephone | 248-721-8790
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Fax | 248-430-6730
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Provider Business Mailing Address
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Address Line | 1695 W 12 MILE RD STE 215
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City | BERKLEY
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State | MI
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Zip | 48072-2182
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Country | US
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Telephone | 248-721-8790
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Fax | 248-430-6730
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Authorized Official
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Title or Position | PRESIDENT/PHARMACIST/OWNER
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Name | DAXESHKUMAR PATEL
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Credential | RPH
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Telephone | 248-825-1327
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 5301009937
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License Number State | MI
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