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General NPI Number Information
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NPI Number | 1609973536
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Entity Type | Organization
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Legal Business Name | YINGER PHARMACY SHOPPE INC
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 01/20/2024
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Provider Practice Location Address
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Address Line | 1704 S CUSTER RD
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City | MONROE
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State | MI
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Zip | 48161-1622
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Country | US
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Telephone | 734-243-5451
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Fax | 734-243-4354
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Provider Business Mailing Address
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Address Line | 1704 S CUSTER RD
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City | MONROE
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State | MI
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Zip | 48161-1622
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Country | US
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Telephone | 734-243-5451
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Fax | 734-243-4354
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Authorized Official
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Title or Position | OWNER/PIC
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Name | ERIC JOHN NAGEL
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Credential | PHARMD
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Telephone | 734-243-5451
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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 | 5301006301
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License Number State | MI
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