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General NPI Number Information
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NPI Number | 1427392976
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Entity Type | Organization
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Legal Business Name | GIANT PHARMACY INC
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Dates
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Enumeration Date | 11/22/2012
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Last Update Date | 02/05/2016
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Provider Practice Location Address
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Address Line | 14040 GREENFIELD RD
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City | DETROIT
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State | MI
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Zip | 48227-2104
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Country | US
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Telephone | 313-272-7777
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Fax | 313-427-2755
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Provider Business Mailing Address
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Address Line | 14040 GREENFIELD RD
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City | DETROIT
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State | MI
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Zip | 48227-2104
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Country | US
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Telephone | 313-272-7777
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Fax | 313-427-2755
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Authorized Official
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Title or Position | PHARMACIST
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Name | MRS. NADA M JOUDI
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Credential |
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Telephone | 313-272-7777
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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 | 5301009953
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License Number State | MH
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