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General NPI Number Information
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NPI Number | 1467492116
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Entity Type | Organization
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Legal Business Name | TRIMED, INC
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 02/05/2009
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Provider Practice Location Address
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Address Line | 50680 CORPORATE DR SUITE #2
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City | SHELBY TOWNSHIP
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State | MI
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Zip | 48315-3107
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Country | US
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Telephone | 586-323-8270
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Fax | 586-323-8273
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Provider Business Mailing Address
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Address Line | 50680 CORPORATE DR
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City | SHELBY TOWNSHIP
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State | MI
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Zip | 48315-3107
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Country | US
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Telephone | 586-323-8280
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | WILLIAM DRAKE
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Credential | PHARMD
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Telephone | 586-323-8280
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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 | 5301005229
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License Number State | MI
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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