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General NPI Number Information
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NPI Number | 1376651737
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Entity Type | Organization
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Legal Business Name | STERLING WARREN PHARMACY INC
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Dates
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Enumeration Date | 08/27/2006
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Last Update Date | 11/01/2012
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Provider Practice Location Address
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Address Line | 30834 SCHOENHERR RD
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City | WARREN
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State | MI
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Zip | 48088-6856
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Country | US
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Telephone | 586-775-1221
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Fax | 586-775-6555
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Provider Business Mailing Address
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Address Line | 30834 SCHOENHERR RD
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City | WARREN
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State | MI
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Zip | 48088-6856
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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 | OWNER
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Name | WAYNE CONTI
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Credential |
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Telephone | 586-775-1221
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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 | 5301001808
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License Number State | MI
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