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General NPI Number Information
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NPI Number | 1538976626
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Entity Type | Organization
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Legal Business Name | WUIS VALUE DRUGS INC
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Dates
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Enumeration Date | 12/12/2024
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 08337 M 140 STE 2
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City | SOUTH HAVEN
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State | MI
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Zip | 49090-1990
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Country | US
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Telephone | 269-637-3222
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Fax | 269-637-4089
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Provider Business Mailing Address
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Address Line | 08337 M 140 STE 2
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City | SOUTH HAVEN
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State | MI
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Zip | 49090-1990
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Country | US
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Telephone | 269-637-3222
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Fax | 269-637-4089
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Authorized Official
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Title or Position | PRESIDENT
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Name | RYAN DAVID MOORE
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Credential | R.PH., M.B.A.
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Telephone | 269-637-3222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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