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General NPI Number Information
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NPI Number | 1407681695
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Entity Type | Organization
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Legal Business Name | EXPONENTIAL HEALTH PHARMACY
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Dates
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Enumeration Date | 09/05/2024
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 2155 E PARIS AVE SE STE 220
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City | GRAND RAPIDS
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State | MI
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Zip | 49546-6195
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Country | US
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Telephone | 616-548-6161
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Fax |
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Provider Business Mailing Address
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Address Line | 2155 EAST PARIS AVE SE STE 220
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City | GRAND RAPIDS
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State | MI
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Zip | 49546-6195
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Country | US
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Telephone | 616-548-6161
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Fax |
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE (PIC)
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Name | ADAM AQEL
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Credential | PHARMD
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Telephone | 616-206-4316
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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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