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General NPI Number Information
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NPI Number | 1699725283
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Entity Type | Organization
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Legal Business Name | PINNY PHARMACY INC
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 704 S MABLE ST
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City | PINCONNING
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State | MI
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Zip | 48650-9348
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Country | US
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Telephone | 989-879-7705
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Fax | 989-879-6950
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Provider Business Mailing Address
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Address Line | 704 S MABLE ST PO BOX 777
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City | PINCONNING
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State | MI
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Zip | 48650-9348
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Country | US
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Telephone | 989-879-7705
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Fax | 989-879-6950
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Authorized Official
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Title or Position | PRESIDENT
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Name | TERESA JEAN SPIES
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Credential |
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Telephone | 989-876-8899
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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 | 5301007276
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License Number State | MI
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