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General NPI Number Information
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NPI Number | 1669831012
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Entity Type | Organization
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Legal Business Name | SHREEJI PHARMACY LLC
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Dates
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Enumeration Date | 02/14/2016
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Last Update Date | 08/23/2016
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Provider Practice Location Address
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Address Line | 405 SIGMAN RD NW STE B
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City | CONYERS
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State | GA
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Zip | 30012-3625
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Country | US
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Telephone | 770-648-7868
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Fax | 770-648-7829
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Provider Business Mailing Address
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Address Line | 405 SIGMAN RD NW STE B
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City | CONYERS
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State | GA
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Zip | 30012-3625
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Country | US
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Telephone | 770-648-7868
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Fax | 770-648-7829
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Authorized Official
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Title or Position | OWNER
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Name | MR. SACHINKUMAR R PATEL
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Credential | PHARMACIST
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Telephone | 770-648-7868
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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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