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General NPI Number Information
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NPI Number | 1528781010
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Entity Type | Organization
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Legal Business Name | COMMUNITY PHARMACY AT HILLS AND DALES
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Dates
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Enumeration Date | 09/21/2022
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Last Update Date | 09/21/2022
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Provider Practice Location Address
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Address Line | 6190 HOSPITAL DR STE 10
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City | CASS CITY
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State | MI
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Zip | 48726-1072
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Country | US
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Telephone | 989-912-6286
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Fax | 989-872-2147
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Provider Business Mailing Address
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Address Line | 6190 HOSPITAL DR STE 10
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City | CASS CITY
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State | MI
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Zip | 48726-1072
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Country | US
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Telephone | 989-912-6286
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Fax | 989-872-2147
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Authorized Official
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Title or Position | CFO
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Name | MR. KURT S SARGENT
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Credential |
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Telephone | 641-322-6270
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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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