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General NPI Number Information
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NPI Number | 1699736181
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Entity Type | Organization
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Legal Business Name | VALUE CENTER PHARMACY INC
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Dates
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Enumeration Date | 04/01/2006
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Last Update Date | 02/01/2008
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Provider Practice Location Address
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Address Line | 1485 W 14 MILE RD
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City | MADISON HEIGHTS
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State | MI
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Zip | 48071-1055
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Country | US
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Telephone | 248-583-1854
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Fax | 248-583-1986
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Provider Business Mailing Address
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Address Line | 1485 W 14 MILE RD
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City | MADISON HEIGHTS
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State | MI
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Zip | 48071-1055
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Country | US
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Telephone | 248-583-1854
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Fax | 248-583-1986
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Authorized Official
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Title or Position | MANAGER
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Name | MR. THOMAS F ROLANDS
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Credential | PHARMACIST R PH
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Telephone | 248-583-1854
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 5301007931
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License Number State | MI
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