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General NPI Number Information
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NPI Number | 1497494967
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Entity Type | Organization
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Legal Business Name | SHELBYRX LLC
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Dates
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Enumeration Date | 06/02/2022
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 47315 VAN DYKE AVENUE
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City | SHELBY TOWNSHIP
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State | MI
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Zip | 48317
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Country | US
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Telephone | 586-983-9740
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Fax |
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Provider Business Mailing Address
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Address Line | 47315 VAN DYKE AVE
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City | SHELBY TWP
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State | MI
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Zip | 48317-3363
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Country | US
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Telephone | 583-326-0006
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Fax | 586-326-0007
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Authorized Official
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Title or Position | PARTNER PHARMACIST
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Name | NICK GASSO
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Credential |
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Telephone | 586-326-0006
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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 |
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License Number State |
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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 |
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License Number State |
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