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General NPI Number Information
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NPI Number | 1457519399
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Entity Type | Organization
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Legal Business Name | BASIT PHARMACY LLC
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Dates
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Enumeration Date | 05/28/2008
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Last Update Date | 06/30/2020
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Provider Practice Location Address
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Address Line | 1525 W CARO RD
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City | CARO
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State | MI
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Zip | 48723-9686
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Country | US
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Telephone | 989-672-1080
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Fax | 989-672-1082
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Provider Business Mailing Address
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Address Line | PO BOX 149
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City | CARO
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State | MI
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Zip | 48723-0149
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Country | US
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Telephone | 989-672-1080
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Fax | 989-672-1082
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Authorized Official
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Title or Position | PRESIDENT
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Name | EDNAN BASIT SYED
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Credential |
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Telephone | 989-672-1080
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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 | 5301008869
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License Number State | MI
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