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General NPI Number Information
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NPI Number | 1689189243
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Entity Type | Organization
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Legal Business Name | HUNTINGTON PHARMACY
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Dates
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Enumeration Date | 12/05/2017
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Last Update Date | 03/28/2018
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Provider Practice Location Address
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Address Line | 26711 WOODWARD AVE # LL6
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City | HUNTINGTON WOODS
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State | MI
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Zip | 48070-1333
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Country | US
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Telephone | 313-779-8762
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Fax |
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Provider Business Mailing Address
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Address Line | 26711 WOODWARD AVE STE LL6
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City | HUNTINGTON WOODS
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State | MI
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Zip | 48070-1333
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Country | US
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Telephone | 248-951-2754
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Fax | 248-951-2763
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL/PIC
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Name | USEF HASSAN
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Credential |
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Telephone | 313-779-8762
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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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