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General NPI Number Information
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NPI Number | 1467960658
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Entity Type | Organization
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Legal Business Name | FIRSTCARE PHARMACY INC
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Dates
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Enumeration Date | 01/22/2018
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 217 MIDDLEBELT RD
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City | GARDEN CITY
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State | MI
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Zip | 48135-2726
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Country | US
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Telephone | 313-327-0040
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Fax | 313-327-0041
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Provider Business Mailing Address
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Address Line | 217 MIDDLEBELT RD
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City | GARDEN CITY
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State | MI
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Zip | 48135-2726
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Country | US
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Telephone | 800-314-1955
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Fax | 889-994-3638
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Authorized Official
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Title or Position | OWNER/AO
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Name | GEORGE SHANLIKIAN
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Credential |
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Telephone | 734-812-8412
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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 | 5301011318
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License Number State | MI
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