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General NPI Number Information
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NPI Number | 1497123673
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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 | 09/04/2015
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Last Update Date | 09/04/2015
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Provider Practice Location Address
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Address Line | 2213 E HILE ROAD
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City | MUSKEGON
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State | MI
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Zip | 49444
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Country | US
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Telephone | 231-288-3385
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Fax |
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Provider Business Mailing Address
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Address Line | 2213 E HILE RD
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City | MUSKEGON
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State | MI
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Zip | 49444-4470
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Country | US
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Telephone | 231-288-3385
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | MUHAMMAD ATA ULLAH
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Credential | PH
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Telephone | 231-288-3385
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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 | 5302036516
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License Number State | MI
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