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General NPI Number Information
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NPI Number | 1467564468
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Entity Type | Organization
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Legal Business Name | APOTHECARE LLC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 500 N JAMES ST
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City | GRAYLING
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State | MI
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Zip | 49738-1714
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Country | US
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Telephone | 989-348-2000
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Fax | 989-348-6007
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Provider Business Mailing Address
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Address Line | 500 N JAMES ST
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City | GRAYLING
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State | MI
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Zip | 49738-1714
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LACEY GILDE
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Credential | PHARMD
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Telephone | 810-845-5104
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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 | 5301007067
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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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