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General NPI Number Information
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NPI Number | 1487621892
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Entity Type | Organization
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Legal Business Name | PHARMA CARE INC
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Dates
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Enumeration Date | 03/03/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 209 S CHERRY ST
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City | FLUSHING
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State | MI
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Zip | 48433
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Country | US
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Telephone | 810-659-5608
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Fax | 810-659-6789
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Provider Business Mailing Address
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Address Line | PO BOX 480
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City | FLUSHING
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State | MI
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Zip | 48433
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Country | US
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Telephone | 810-659-5608
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Fax | 810-659-6789
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Authorized Official
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Title or Position | PHARMACISTS
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Name | MR. RAYMOND MILES DORHOUT SR.
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Credential | RPH PRESIDENT
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Telephone | 810-659-5608
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 23D1009655
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | C
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License Number State | MI
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