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General NPI Number Information
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NPI Number | 1689731812
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Entity Type | Organization
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Legal Business Name | L'ANSE PHARMACY INC.
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 02/07/2013
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Provider Practice Location Address
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Address Line | 18341 US HWY 41
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City | L'ANSE
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State | MI
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Zip | 49946
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Country | US
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Telephone | 906-524-6202
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Fax | 906-524-7702
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Provider Business Mailing Address
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Address Line | 18341 US HWY 41
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City | L'ANSE
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State | MI
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Zip | 49946
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Country | US
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Telephone | 906-524-6202
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Fax | 906-524-7702
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALAN HENDRICKS
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Credential | RPH
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Telephone | 906-524-6202
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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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