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General NPI Number Information
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NPI Number | 1619074150
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Entity Type | Organization
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Legal Business Name | 20201 WEST SEVEN MILE DRUGS INC
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Dates
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Enumeration Date | 09/19/2006
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Last Update Date | 04/29/2016
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Provider Practice Location Address
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Address Line | 20201 W 7 MILE RD
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City | DETROIT
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State | MI
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Zip | 48219-5715
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Country | US
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Telephone | 313-533-8200
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Fax | 313-533-8522
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Provider Business Mailing Address
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Address Line | 20201 W 7 MILE RD
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City | DETROIT
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State | MI
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Zip | 48219-5715
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Country | US
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Telephone | 313-533-8200
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Fax | 313-538-2223
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Authorized Official
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Title or Position | PHARMACY OWNER
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Name | MR. SAAD SHAFIE
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Credential | R.PH.
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Telephone | 313-533-8200
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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 | 5301005180
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License Number State | MI
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