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General NPI Number Information
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NPI Number | 1487711792
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Entity Type | Organization
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Legal Business Name | OBI PHARM INTERNATIONAL IMP & EXP INC
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 10/06/2008
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Provider Practice Location Address
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Address Line | 13701 W 7 MILE RD
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City | DETROIT
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State | MI
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Zip | 48235-1714
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Country | US
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Telephone | 313-341-6123
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Fax | 313-341-6124
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Provider Business Mailing Address
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Address Line | 13701 W 7 MILE RD
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City | DETROIT
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State | MI
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Zip | 48235-1714
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Country | US
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Telephone | 313-341-6123
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Fax | 313-341-6124
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. OBINNA ATHANASIUS CHUKWU
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Credential | PHARMACIST
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Telephone | 313-341-6123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5302028708
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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 | 5301006590
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License Number State | MI
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