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General NPI Number Information
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NPI Number | 1427234863
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Entity Type | Organization
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Legal Business Name | BLOOMFIELD PHARMACY NORTH PC
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Dates
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Enumeration Date | 01/16/2008
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 44200 WOODWARD AVE STE 107
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City | PONTIAC
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State | MI
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Zip | 48341-5045
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Country | US
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Telephone | 248-334-7700
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Fax | 248-334-7715
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Provider Business Mailing Address
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Address Line | 44200 WOODWARD AVE SUITE 107
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City | PONTIAC
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State | MI
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Zip | 48341-5045
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Country | US
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Telephone | 248-334-7700
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Fax | 247-334-7715
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Authorized Official
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Title or Position | PHARMACIST
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Name | ALI RIAD ZAHR
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Credential |
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Telephone | 248-334-7700
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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 | 5301008772
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License Number State | MI
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