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General NPI Number Information
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NPI Number | 1457581910
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Entity Type | Organization
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Legal Business Name | D & D PHARMACY LLC
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Dates
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Enumeration Date | 07/19/2009
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Last Update Date | 11/04/2009
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Provider Practice Location Address
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Address Line | 3500 11 MILE RD STE D
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City | BERKLEY
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State | MI
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Zip | 48072-1225
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Country | US
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Telephone | 248-544-3140
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Fax | 248-544-3414
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Provider Business Mailing Address
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Address Line | 3500 11 MILE RD STE D
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City | BERKLEY
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State | MI
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Zip | 48072-1225
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Country | US
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Telephone | 248-544-3140
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Fax | 248-544-3414
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | FEDERICA MCKEAGUE
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Credential |
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Telephone | 248-722-9202
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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 | 5301009150
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License Number State | MI
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