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General NPI Number Information
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NPI Number | 1447677257
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Entity Type | Organization
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Legal Business Name | SHOPPERS PHARMACY LLC
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Dates
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Enumeration Date | 03/19/2014
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Last Update Date | 05/15/2014
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Provider Practice Location Address
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Address Line | 46670 W PONTIAC TRL STE 3
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City | COMMERCE TWP
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State | MI
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Zip | 48390-4040
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Country | US
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Telephone | 248-956-7999
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Fax | 248-956-7998
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Provider Business Mailing Address
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Address Line | 46670 W PONTIAC TRL STE 3
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City | COMMERCE TWP
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State | MI
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Zip | 48390-4040
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Country | US
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Telephone | 248-956-7999
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Fax | 248-956-7998
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Authorized Official
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Title or Position | OWNER
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Name | GEORGE HARB
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Credential | RPH
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Telephone | 248-207-3116
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 5301010383
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License Number State | MI
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