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General NPI Number Information
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NPI Number | 1386898070
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Entity Type | Organization
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Legal Business Name | CITY DRUGS PHARMACY
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Dates
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Enumeration Date | 11/08/2008
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Last Update Date | 11/08/2008
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Provider Practice Location Address
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Address Line | 11190 GRATIOT AVE
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City | DETROIT
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State | MI
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Zip | 48213-1334
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Country | US
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Telephone | 313-521-4000
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Fax | 313-521-4010
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Provider Business Mailing Address
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Address Line | 11190 GRATIOT AVE
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City | DETROIT
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State | MI
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Zip | 48213-1334
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Country | US
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Telephone | 313-521-4000
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Fax | 313-521-4010
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | AUDAY MAKI
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Credential | RPH, PH.D
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Telephone | 313-443-1781
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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 |
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License Number State |
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