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NPI 1386286615

NPI 1386286615 : CAMPUS DRUGS LLC : YPSILANTI, MI

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General NPI Number Information
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    NPI Number           |    1386286615
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    Entity Type          |    Organization 
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    Legal Business Name  |    CAMPUS DRUGS LLC 
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Dates
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    Enumeration Date     |    10/08/2019
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    Last Update Date     |    12/06/2023
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Provider Practice Location Address
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    Address Line         |    1065 N HURON RIVER DR STE 600 
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    City                 |    YPSILANTI
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    State                |    MI
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    Zip                  |    48197-3296
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    Country              |    US
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    Telephone            |    734-547-5995
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    Fax                  |    734-547-5974
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Provider Business Mailing Address
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    Address Line         |    1065 N HURON RIVER DR 
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    City                 |    YPSILANTI
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    State                |    MI
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    Zip                  |    48197-3296
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    Country              |    US
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    Telephone            |    734-547-5995
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    Fax                  |    734-547-5974
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     GHAZI  SALMAN 
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    Credential           |    
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    Telephone            |    734-547-5995
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3336C0002X
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    Taxonomy Name        |    Clinic Pharmacy
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    License Number       |    
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    License Number State |    
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