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General NPI Number Information
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NPI Number | 1578579306
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Entity Type | Organization
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Legal Business Name | WARE'S PHARMACY LLC
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 10/14/2020
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Provider Practice Location Address
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Address Line | 304 S JEFFERSON ST
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City | MASON
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State | MI
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Zip | 48854-1652
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Country | US
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Telephone | 517-676-9199
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Fax | 517-676-9165
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Provider Business Mailing Address
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Address Line | 304 S JEFFERSON ST
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City | MASON
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State | MI
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Zip | 48854-1652
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Country | US
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Telephone | 517-676-9199
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Fax | 517-676-9165
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | MICHAEL HALSTEAD
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Credential |
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Telephone | 517-676-9199
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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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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 5301001314
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License Number State | MI
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