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General NPI Number Information
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NPI Number | 1376991695
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Entity Type | Organization
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Legal Business Name | QUALITY MEDRX INC
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Dates
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Enumeration Date | 05/26/2016
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Last Update Date | 12/13/2016
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Provider Practice Location Address
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Address Line | 1601 E MICHIGAN AVE
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City | LANSING
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State | MI
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Zip | 48912-2894
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Country | US
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Telephone | 888-578-3044
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Fax | 517-485-4789
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Provider Business Mailing Address
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Address Line | 1601 E MICHIGAN AVE
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City | LANSING
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State | MI
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Zip | 48912-2894
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Country | US
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Telephone | 888-578-3044
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Fax | 517-485-4789
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Authorized Official
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Title or Position | PRESIDENT/AO
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Name | JON SANFORD
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Credential |
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Telephone | 517-899-1680
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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 | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 5301010956
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License Number State | MI
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