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General NPI Number Information
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NPI Number | 1407914831
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Entity Type | Organization
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Legal Business Name | MILLS PHARMACY INC
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1740 W MAPLE ROAD
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City | BIRMINGHAM
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State | MI
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Zip | 48009
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Country | US
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Telephone | 248-644-5060
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Fax | 248-644-5576
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Provider Business Mailing Address
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Address Line | 1740 W MAPLE ROAD
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City | BIRMINGHAM
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State | MI
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Zip | 48009
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Country | US
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Telephone | 248-644-5060
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Fax | 248-644-5576
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Authorized Official
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Title or Position | HEAD PHARMACIST
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Name | BARBARA R GOLDBERG
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Credential | RPH
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Telephone | 248-644-5060
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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 | 5315011943
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License Number State | MI
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