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General NPI Number Information
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NPI Number | 1467865121
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Entity Type | Organization
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Legal Business Name | RITE AID
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Dates
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Enumeration Date | 06/10/2014
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Last Update Date | 06/10/2014
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Provider Practice Location Address
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Address Line | 2980 PACKARD ST
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City | ANN ARBOR
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State | MI
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Zip | 48108
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Country | US
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Telephone | 734-971-1013
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Fax |
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Provider Business Mailing Address
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Address Line | 7056 CHADWICK DR
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City | CANTON
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State | MI
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Zip | 48187
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Country | US
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Telephone | 734-620-5411
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Fax |
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Authorized Official
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Title or Position | DISTRICT MANAGER
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Name | RHONDA MORRIS
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Credential |
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Telephone | 734-729-7810
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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 | 5302039844
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License Number State | MI
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