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General NPI Number Information
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NPI Number | 1508996935
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Entity Type | Organization
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Legal Business Name | SAMS RX DRUGS
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 06/15/2011
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Provider Practice Location Address
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Address Line | 4765 W WARREN AVE
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City | DETROIT
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State | MI
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Zip | 48210-1465
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Country | US
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Telephone | 313-896-6734
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Fax | 313-896-1560
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Provider Business Mailing Address
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Address Line | 4765 W WARREN AVE
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City | DETROIT
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State | MI
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Zip | 48210-1465
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Country | US
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Telephone | 313-896-6734
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Fax | 313-896-1560
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Authorized Official
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Title or Position | PHARMACIST OWNER
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Name | MR. PAUL COBBIN WOODS SR.
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Credential | RPH
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Telephone | 313-896-6734
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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