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General NPI Number Information
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NPI Number | 1346483781
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Entity Type | Organization
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Legal Business Name | BGS PHARMACY II LLC
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Dates
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Enumeration Date | 04/15/2009
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Last Update Date | 01/30/2022
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Provider Practice Location Address
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Address Line | 1485 W 14 MILE RD
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City | MADISON HEIGHTS
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State | MI
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Zip | 48071-1055
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Country | US
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Telephone | 248-583-1854
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Fax | 248-583-1986
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Provider Business Mailing Address
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Address Line | 1485 W 14 MILE RD
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City | MADISON HEIGHTS
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State | MI
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Zip | 48071-1055
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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 | PRESIDENT
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Name | MURALI C GINJUPALLI
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Credential |
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Telephone | 989-906-4232
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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 | 5301009099
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License Number State | MI
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