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General NPI Number Information
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NPI Number | 1487797866
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Entity Type | Organization
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Legal Business Name | D & S PHARMACY LLC
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 10/07/2009
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Provider Practice Location Address
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Address Line | 21130 ALLEN RD
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City | WOODHAVEN
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State | MI
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Zip | 48183-1694
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Country | US
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Telephone | 734-561-5052
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Fax | 734-561-5055
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Provider Business Mailing Address
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Address Line | 21130 ALLEN RD
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City | WOODHAVEN
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State | MI
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Zip | 48183-1694
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Country | US
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Telephone | 734-561-5052
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Fax | 734-561-5055
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Authorized Official
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Title or Position | OWNER AND PIC
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Name | DIVEN PATEL
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Credential |
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Telephone | 734-561-5052
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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 | 5301008571
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License Number State | MI
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