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General NPI Number Information
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NPI Number | 1356713259
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Entity Type | Organization
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Legal Business Name | ALMA FAMILY PHARMACY, LLC
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Dates
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Enumeration Date | 10/30/2015
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Last Update Date | 11/21/2016
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Provider Practice Location Address
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Address Line | 1686 WRIGHT AVE STE C
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City | ALMA
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State | MI
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Zip | 48801-1090
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Country | US
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Telephone | 989-968-4003
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Fax | 989-968-4005
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Provider Business Mailing Address
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Address Line | 1686 WRIGHT AVE SUITE C
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City | ALMA
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State | MI
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Zip | 48801-1090
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Country | US
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Telephone | 989-968-4003
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Fax | 989-968-4005
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Authorized Official
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Title or Position | OWNER/R.PH.
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Name | RAYMOND RUTKOWSKI
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Credential |
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Telephone | 989-388-6553
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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 | 5301010805
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License Number State | MI
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